Kim, David H

Kim, David H is an individual health care provider with primary practice located at 125 Parker Hill Ave Converse 4, Roxbury Crossing MA 02120-2847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Kim, David H can be contacted via phone (617) 754-5595.

Contact Information

Primary practice address
125 Parker Hill Ave Converse 4 Roxbury Crossing MA 02120-2847
Phone: (617) 754-5595
Fax: (617) 754-6482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 207779 Massachusetts

Profile Details

NPI number 1356343032
LBN Legal business name Kim, David H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Mar 30th, 2009 - about 15 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 1356343032 NPPES
Massachusetts MEDICAID 0184721

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