Kim, Chung

Kim, Chung is an individual health care provider with primary practice located at 36475 Five Mile Rd , Livonia MI 48154-1971. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, Chung can be contacted via phone (734) 655-4800.

Contact Information

Primary practice address
36475 Five Mile Rd Livonia MI 48154-1971
Phone: (734) 655-4800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301039736 Michigan

Profile Details

NPI number 1467417329
LBN Legal business name Kim, Chung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1467417329 NPPES
Michigan MEDICAID 3516119

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