Kim, Ellen M
Kim, Ellen M is an individual health care provider with primary practice located at 560 Gage Blvd Ste 206 , Richland WA 99352-8650. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kim, Ellen M can be contacted via phone (509) 942-3286.Contact Information
Primary practice address
560 Gage Blvd Ste 206
Richland WA 99352-8650
Phone: (509) 942-3286
Fax: (509) 628-1354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00046853 | Washington |
Profile Details
| NPI number | 1124024229 |
|---|---|
| LBN Legal business name | Kim, Ellen M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jun 13th, 2022 - about 2 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 | 1124024229 | NPPES |
| Washington | MEDICAID | 8458986 |
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