Kim, Joon Soo

Kim, Joon Soo is an individual health care provider with primary practice located at 14502 W Meeker Blvd , Sun City West AZ 85375-5282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Kim, Joon Soo can be contacted via phone (623) 524-8814.

Contact Information

Primary practice address
14502 W Meeker Blvd Sun City West AZ 85375-5282
Phone: (623) 524-8814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 007951 Arizona
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 007951 Arizona

Profile Details

NPI number 1730592171
LBN Legal business name Kim, Joon Soo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2014
Last updated May 10th, 2022 - about 2 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 1730592171 NPPES
Arizona MEDICAID 998131

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