Kim, Kang K
Kim, Kang K is an sole proprietor health care provider with primary practice located at 1 Webster Ave Suite 307, Poughkeepsie NY 12601-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kim, Kang K can be contacted via phone (845) 471-1002.Contact Information
Primary practice address
1 Webster Ave Suite 307
Poughkeepsie NY 12601-1361
Phone: (845) 471-1002
Fax: (845) 471-1003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 111678 | New York |
Profile Details
| NPI number | 1154323046 |
|---|---|
| LBN Legal business name | Kim, Kang K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1154323046 | NPPES |
| New York | MEDICAID | 00538156 |
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