Kim, Chun S

Kim, Chun S is an individual health care provider with primary practice located at 7653 Garners Ferry Rd , Columbia SC 29209. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kim, Chun S can be contacted via phone (803) 783-2661.

Contact Information

Primary practice address
7653 Garners Ferry Rd Columbia SC 29209
Phone: (803) 783-2661
Fax: (803) 776-8882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8790 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8790 South Carolina

Profile Details

NPI number 1871557579
LBN Legal business name Kim, Chun S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 18th, 2009 - about 15 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 1871557579 NPPES
South Carolina MEDICAID 087907

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