Kim, June A
Kim, June A is an individual health care provider with primary practice located at 1104 John Nolen Dr , Madison WI 53713-1430. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kim, June A can be contacted via phone (608) 251-6868.Contact Information
Primary practice address
1104 John Nolen Dr
Madison WI 53713-1430
Phone: (608) 251-6868
Fax: (608) 251-4255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 39844 | Wisconsin |
Profile Details
| NPI number | 1760488092 |
|---|---|
| LBN Legal business name | Kim, June A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Oct 1st, 2014 - about 12 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 | 1760488092 | NPPES |
| Wisconsin | MEDICAID | 32453600 | |
| Wisconsin | MEDICAID | 023984900 |
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