Kim, Eileen E

Kim, Eileen E is an sole proprietor health care provider with primary practice located at 5117 Fiorella Ln , Sanford FL 32771-5449. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Kim, Eileen E can be contacted via phone (407) 489-0800.

Contact Information

Primary practice address
5117 Fiorella Ln Sanford FL 32771-5449
Phone: (407) 489-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111629 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X PA9111629 Florida

Profile Details

NPI number 1912474156
LBN Legal business name Kim, Eileen E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 25th, 2018
Last updated Apr 6th, 2020 - about 5 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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