Kim, Henry
Kim, Henry is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kim, Henry can be contacted via phone (574) 247-9441.Contact Information
Primary practice address
53880 Carmichael Dr
South Bend IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01054019A | Indiana |
Profile Details
| NPI number | 1700868460 |
|---|---|
| LBN Legal business name | Kim, Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2005 |
| Last updated | Nov 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700868460 | NPPES |
| Indiana | MEDICAID | 2003210270A |
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