Kim, Dae Woong

Kim, Dae Woong is an individual health care provider with primary practice located at 21321 E Ocotillo Rd Ste 133 , Queen Creek AZ 85142-5995. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kim, Dae Woong can be contacted via phone (480) 987-5525.

Contact Information

Primary practice address
21321 E Ocotillo Rd Ste 133 Queen Creek AZ 85142-5995
Phone: (480) 987-5525
Fax: (480) 987-5115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7074 Arizona

Profile Details

NPI number 1386132652
LBN Legal business name Kim, Dae Woong
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2018
Last updated Jan 6th, 2023 - about last year

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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