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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1730592171 | NPPES |
| Arizona | MEDICAID | 998131 |
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