Kim, Charles Y
Kim, Charles Y is an sole proprietor health care provider with primary practice located at 187 Thomas Johnson Dr Suite 7, Frederick MD 21702-4503. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Charles Y can be contacted via phone (301) 695-6655.Contact Information
Primary practice address
187 Thomas Johnson Dr Suite 7
Frederick MD 21702-4503
Phone: (301) 695-6655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D21016 | Maryland |
Profile Details
| NPI number | 1295736338 |
|---|---|
| LBN Legal business name | Kim, Charles Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Dec 5th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295736338 | NPPES |
| Maryland | MEDICAID | 188191400 |
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