Kim, Kelly Y

Kim, Kelly Y is an individual health care provider with primary practice located at 3655 Lutheran Parkway Suite #201, Wheat Ridge CO 80033-6010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Kim, Kelly Y can be contacted via phone (303) 603-9800.

Contact Information

Primary practice address
3655 Lutheran Parkway Suite #201 Wheat Ridge CO 80033-6010
Phone: (303) 603-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39876 Colorado
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 39876 Colorado

Profile Details

NPI number 1356309009
LBN Legal business name Kim, Kelly Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Apr 19th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356309009 NPPES
Colorado MEDICAID 74434276

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