Kim, James Y

Kim, James Y is an individual health care provider with primary practice located at 715 Richland Mall , Mansfield OH 44906-3802. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Kim, James Y can be contacted via phone (419) 462-4603.

Contact Information

Primary practice address
715 Richland Mall Mansfield OH 44906-3802
Fax:
Website:

Profile Details

NPI number 1730262882
LBN Legal business name Kim, James Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 4th, 2021 - about 3 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 1730262882 NPPES
Florida MEDICAID 018227700
Florida MEDICAID 200343530B
Florida MEDICAID 283455803
Florida MEDICAID 283455802

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