Kim, Donna C

Kim, Donna C is an individual health care provider with primary practice located at 13 Industrial Park Road , Saco ME 04072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kim, Donna C can be contacted via phone (207) 283-8800.

Contact Information

Primary practice address
13 Industrial Park Road Saco ME 04072
Fax: (207) 286-9853
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 018336 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X EC-06-1061 Maine

Profile Details

NPI number 1194897801
LBN Legal business name Kim, Donna C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jun 7th, 2011 - about 13 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 1194897801 NPPES
Maine Other AA196072 HARVARD PILGRIM
Maine Other 4888781002 HARVARD PILGRIM
Maine Other 1194897801 HARVARD PILGRIM
Maine MEDICAID 1194897801 HARVARD PILGRIM

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