Kim, Joseph Peter

Kim, Joseph Peter is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 1080 , Milwaukee WI 53215-3689. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Joseph Peter can be contacted via phone (414) 908-6601.

Contact Information

Primary practice address
2801 W Kinnickinnic River Pkwy Ste 1080 Milwaukee WI 53215-3689
Phone: (414) 908-6601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X JK079482 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 38289-20 Wisconsin

Profile Details

NPI number 1962472589
LBN Legal business name Kim, Joseph Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Dec 10th, 2021 - about 4 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 1962472589 NPPES
Michigan Other 1105202081 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 34100400 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 4437305 BLUE CROSS BLUE SHIELD
Michigan Other 100017318 BLUE CROSS BLUE SHIELD

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