Kim, John Myoung Koo
Kim, John Myoung Koo is an sole proprietor health care provider with primary practice located at 1115 Wooster Rd W , Barberton OH 44203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kim, John Myoung Koo can be contacted via phone (330) 825-6892.Contact Information
Primary practice address
1115 Wooster Rd W
Barberton OH 44203
Phone: (330) 825-6892
Fax: (330) 825-2782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35100108 | Ohio |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 35100108 | Ohio |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-100108 | Ohio |
Profile Details
| NPI number | 1619957487 |
|---|---|
| LBN Legal business name | Kim, John Myoung Koo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Dec 30th, 2010 - about 14 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 | 1619957487 | NPPES |
| Ohio | MEDICAID | 0269865 | |
| Ohio | Other | 778938 |
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