Kim, Ka H

Kim, Ka H is an sole proprietor health care provider with primary practice located at 9320 State Road 54 , Trinity FL 34655-1808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kim, Ka H can be contacted via phone (727) 493-2513.

Contact Information

Primary practice address
9320 State Road 54 Trinity FL 34655-1808
Fax: (877) 917-2336
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9321755 Florida

Profile Details

NPI number 1477863835
LBN Legal business name Kim, Ka H
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2010
Last updated Oct 24th, 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 1477863835 NPPES
Florida MEDICAID 111353600

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