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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871557579 | NPPES |
South Carolina | MEDICAID | 087907 |
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