Kim, Daniel

Kim, Daniel is an individual health care provider with primary practice located at 250 Bmh Physicians Office Bldg , Maryville TN 37804-5904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kim, Daniel can be contacted via phone (865) 980-5244.

Contact Information

Primary practice address
250 Bmh Physicians Office Bldg Maryville TN 37804-5904
Phone: (865) 980-5244
Fax: (865) 980-5245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD54161 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD54161 Tennessee

Profile Details

NPI number 1174792154
LBN Legal business name Kim, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Jun 8th, 2022 - about 2 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 1174792154 NPPES
Tennessee MEDICAID Q022093

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