Kim, Kisung

Kim, Kisung is an individual health care provider with primary practice located at 2450 Sister Mary Columba Dr , Red Bluff CA 96080-4356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Kim, Kisung can be contacted via phone (530) 527-0414.

Contact Information

Primary practice address
2450 Sister Mary Columba Dr Red Bluff CA 96080-4356
Phone: (530) 527-0414
Fax: (530) 527-3720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A141207 California

Profile Details

NPI number 1073939815
LBN Legal business name Kim, Kisung
Credentials Bachelor of Medicine (BM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated Apr 3rd, 2019 - about 6 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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