Kim, Haeche

Kim, Haeche is an individual health care provider with primary practice located at 1700 Skylyn Dr , Spartanburg SC 29307-1041. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Haeche can be contacted via phone (864) 573-3000.

Contact Information

Primary practice address
1700 Skylyn Dr Spartanburg SC 29307-1041
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7916 South Carolina

Profile Details

NPI number 1982698486
LBN Legal business name Kim, Haeche
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 30th, 2007 - about 17 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 1982698486 NPPES
South Carolina MEDICAID 079168

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