Kim, Edward D

Kim, Edward D is an individual health care provider with primary practice located at 1928 Alcoa Hwy Bldg B Suite 222, Knoxville TN 37920-1502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kim, Edward D can be contacted via phone (865) 305-9254.

Contact Information

Primary practice address
1928 Alcoa Hwy Bldg B Suite 222 Knoxville TN 37920-1502
Phone: (865) 305-9254
Fax: (865) 305-9716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 31744 Tennessee

Profile Details

NPI number 1316948029
LBN Legal business name Kim, Edward D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Mar 16th, 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 1316948029 NPPES
Tennessee MEDICAID 3709483
Tennessee Other 3129561

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