Kim, Jong K

Kim, Jong K is an individual health care provider with primary practice located at 952 Seton Dr , Cumberland MD 21502-1950. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Jong K can be contacted via phone (301) 777-3522.

Contact Information

Primary practice address
952 Seton Dr Cumberland MD 21502-1950
Phone: (301) 777-3522
Fax: (301) 777-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D46088 Maryland

Profile Details

NPI number 1255334900
LBN Legal business name Kim, Jong K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2005
Last updated Mar 13th, 2008 - about 16 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 1255334900 NPPES
Maryland Other J2470001 GHMSI
Maryland MEDICAID 0015256100019 GHMSI
Maryland Other J2490001 GHMSI
Maryland Other 37054 GHMSI
Maryland Other J2480001 GHMSI
Maryland Other P00059981 GHMSI
Maryland MEDICAID 0120562000 GHMSI

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