Kim, Charles Chang Hee

Kim, Charles Chang Hee is an individual health care provider with primary practice located at 401 Phalen Blvd , Saint Paul MN 55130-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kim, Charles Chang Hee can be contacted via phone (651) 254-7500.

Contact Information

Primary practice address
401 Phalen Blvd Saint Paul MN 55130-5302
Phone: (651) 254-7500
Fax: (651) 254-7557
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 56188 Minnesota

Profile Details

NPI number 1679787055
LBN Legal business name Kim, Charles Chang Hee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jun 16th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679787055 NPPES
Ohio MEDICAID 2792385
Ohio MEDICAID 3810009247
Ohio MEDICAID 1019196800001

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