Kim, Charles S.

Kim, Charles S. is an sole proprietor health care provider with primary practice located at 631 Cleveland Ave S Ste 5 , Saint Paul MN 55116-1244. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kim, Charles S. can be contacted via phone (984) 377-3422.

Contact Information

Primary practice address
631 Cleveland Ave S Ste 5 Saint Paul MN 55116-1244
Phone: (984) 377-3422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 41236 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 41236 Tennessee
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 57253 Minnesota

Profile Details

NPI number 1154361434
LBN Legal business name Kim, Charles S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2006
Last updated Mar 17th, 2018 - about 6 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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