Kim, David D

Kim, David D is an individual health care provider with primary practice located at 103 Hurley Avenue , Kingston NY 12401. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Kim, David D can be contacted via phone (845) 339-4191.

Contact Information

Primary practice address
103 Hurley Avenue Kingston NY 12401
Phone: (845) 339-4191
Fax: (845) 339-3309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005910 New York

Profile Details

NPI number 1396712030
LBN Legal business name Kim, David D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 10th, 2022 - about 3 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 1396712030 NPPES
New York MEDICAID 02642928

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