Kim, Edward S
Kim, Edward S is an individual health care provider with primary practice located at 601 S Floyd St Ste 602, Louisville KY 40202-1845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Kim, Edward S can be contacted via phone (502) 585-4802.Contact Information
Primary practice address
601 S Floyd St Ste 602
Louisville KY 40202-1845
Phone: (502) 585-4802
Fax: (502) 589-1256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 40958 | Kentucky |
Profile Details
| NPI number | 1609083997 |
|---|---|
| LBN Legal business name | Kim, Edward S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Oct 23rd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609083997 | NPPES |
| Kentucky | MEDICAID | 7100005500 |
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