Kim, Gwang Och

Kim, Gwang Och is an individual health care provider with primary practice located at 2819 Hayes Ave Suite #1, Sandusky OH 44870-5391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kim, Gwang Och can be contacted via phone (419) 627-8403.

Contact Information

Primary practice address
2819 Hayes Ave Suite #1 Sandusky OH 44870-5391
Phone: (419) 627-8403
Fax: (419) 627-1962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 35 040705 Ohio

Profile Details

NPI number 1992706543
LBN Legal business name Kim, Gwang Och
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2005
Last updated Sep 12th, 2012 - about 12 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 1992706543 NPPES
Ohio Other 390007082 RAILROAD MEDICARE
Ohio Other 000000129590 RAILROAD MEDICARE
Ohio MEDICAID 0364690 RAILROAD MEDICARE

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