Kim, Hee Seork

Kim, Hee Seork is an individual health care provider with primary practice located at 1201 S Main St , Crown Point IN 46307-8481. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Hee Seork can be contacted via phone (219) 757-6320.

Contact Information

Primary practice address
1201 S Main St Crown Point IN 46307-8481
Phone: (219) 757-6320
Fax: (219) 738-6714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 01031676 Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01031676 Indiana

Profile Details

NPI number 1053308700
LBN Legal business name Kim, Hee Seork
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Jan 25th, 2012 - about 13 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 1053308700 NPPES
Indiana MEDICAID 100373460

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