Kim, Jongyeol

Kim, Jongyeol is an individual health care provider with primary practice located at 3601 4Th St # Ms 8321 , Lubbock TX 79430-0002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Kim, Jongyeol can be contacted via phone (806) 743-4999.

Contact Information

Primary practice address
3601 4Th St # Ms 8321 Lubbock TX 79430-0002
Phone: (806) 743-4999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 42653 Texas
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X P4585 Texas

Profile Details

NPI number 1306822242
LBN Legal business name Kim, Jongyeol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Apr 17th, 2024 - about 7 months 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 1306822242 NPPES
North Carolina Other 806577 PARTNERS
North Carolina Other 140KX PARTNERS
North Carolina MEDICAID 10208416 PARTNERS
North Carolina MEDICAID Q0142A PARTNERS
North Carolina MEDICAID 3810003890 PARTNERS
North Carolina Other 7046747 PARTNERS
North Carolina Other 182868 PARTNERS
North Carolina MEDICAID 5902240 PARTNERS

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