Kim, John Phillip
Kim, John Phillip is an individual health care provider with primary practice located at 67 Creekside Park Ct , Greenville SC 29615-4810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Kim, John Phillip can be contacted via phone (864) 242-4602.Contact Information
Primary practice address
67 Creekside Park Ct
Greenville SC 29615-4810
Phone: (864) 242-4602
Fax: (864) 242-0129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 17053 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 17053 | South Carolina |
Profile Details
| NPI number | 1265476808 |
|---|---|
| LBN Legal business name | Kim, John Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265476808 | NPPES |
| South Carolina | MEDICAID | 170530 |
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