Kim, George S

Kim, George S is an individual health care provider with primary practice located at 600 East Blvd , Elkhart IN 46514-2483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kim, George S can be contacted via phone (574) 294-2621.

Contact Information

Primary practice address
600 East Blvd Elkhart IN 46514-2483
Phone: (574) 294-2621
Fax: (574) 273-1137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0159032 Indiana

Profile Details

NPI number 1528068475
LBN Legal business name Kim, George S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Mar 20th, 2008 - about 16 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 1528068475 NPPES
Indiana Other 000000336004 ANTHEM
Indiana Other P00203877 ANTHEM

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