Kim, Kenneth

Kim, Kenneth is an individual health care provider with primary practice located at 17100 Euclid St. Picu, Fountain Valley CA 92708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kim, Kenneth can be contacted via phone (714) 966-7253.

Contact Information

Primary practice address
17100 Euclid St. Picu Fountain Valley CA 92708
Phone: (714) 966-7253
Fax: (714) 966-3354
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G077876 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X G077876 California

Profile Details

NPI number 1922002468
LBN Legal business name Kim, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
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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