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
Fax: (808) 676-8035
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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