Kim, Kiup Alexander
Kim, Kiup Alexander is an individual health care provider with primary practice located at 202 E Earll Dr Ste 360 , Phoenix AZ 85012-2677. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kim, Kiup Alexander can be contacted via phone (480) 788-5621.Contact Information
Primary practice address
202 E Earll Dr Ste 360
Phoenix AZ 85012-2677
Phone: (480) 788-5621
Fax: (480) 779-1277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 42708 | Arizona |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 42708 | Arizona |
Profile Details
NPI number | 1225242985 |
---|---|
LBN Legal business name | Kim, Kiup Alexander |
Credentials | MD, RPVI |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2007 |
Last updated | Aug 5th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225242985 | NPPES |
Arizona | Other | 1225242985 | NPI |
Arizona | Other | Z139140 | NPI |
Arizona | MEDICAID | 501341 | NPI |
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