Kim, John B.
Kim, John B. is an individual health care provider with primary practice located at 91-2301 Fort Weaver Rd , Ewa Beach HI 96706-3602. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kim, John B. can be contacted via phone (808) 671-8511.Contact Information
Primary practice address
91-2301 Fort Weaver Rd
Ewa Beach HI 96706-3602
Phone: (808) 671-8511
Fax: (808) 676-8035
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-3089 | Hawaii |
Profile Details
NPI number | 1417990466 |
---|---|
LBN Legal business name | Kim, John B. |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Feb 12th, 2009 - about 15 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 | 1417990466 | NPPES |
Hawaii | Other | 55482501 | ALOHACARE |
Hawaii | Other | 0000248385 | ALOHACARE |
Hawaii | Other | 788861 | ALOHACARE |
Hawaii | Other | 990298651-96706-C002 | ALOHACARE |
Hawaii | MEDICAID | 554825 | ALOHACARE |
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