Kim, Kathleen

Kim, Kathleen is an individual health care provider with primary practice located at 3350 La Jolla Village Dr M/C 116A, San Diego CA 92161-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Kim, Kathleen can be contacted via phone (858) 552-8585.

Contact Information

Primary practice address
3350 La Jolla Village Dr M/C 116A San Diego CA 92161-0002
Phone: (858) 552-8585
Fax: (858) 642-6442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G86882 California

Profile Details

NPI number 1710902739
LBN Legal business name Kim, Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1710902739 NPPES
Illinois MEDICAID 036090635

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