Kim, Daniel Dae

Kim, Daniel Dae is an individual health care provider with primary practice located at 9601 Baptist Health Dr Ste 200 , Little Rock AR 72205-6342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Kim, Daniel Dae can be contacted via phone (201) 219-0900.

Contact Information

Primary practice address
9601 Baptist Health Dr Ste 200 Little Rock AR 72205-6342
Phone: (201) 219-0900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 69149 Wisconsin
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 69149 Wisconsin

Profile Details

NPI number 1639444904
LBN Legal business name Kim, Daniel Dae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639444904 NPPES
Wisconsin MEDICAID 163944904
Wisconsin Other 000001463478
Wisconsin Other 69149
Wisconsin Other 13928487

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