Kim, Kevin T.

Kim, Kevin T. is an individual health care provider with primary practice located at 1325 E Church St Ste 301 , Santa Maria CA 93454-5915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kim, Kevin T. can be contacted via phone (805) 349-9393.

Contact Information

Primary practice address
1325 E Church St Ste 301 Santa Maria CA 93454-5915
Phone: (805) 349-9393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X M11056 Idaho
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X A84507 California

Profile Details

NPI number 1689768848
LBN Legal business name Kim, Kevin T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 2nd, 2023 - about last year

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 1689768848 NPPES
Hawaii MEDICAID 635302-01

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