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:
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Health care specialties

SpecialtyCodeLicense #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 5 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 1225242985 NPPES
Arizona Other 1225242985 NPI
Arizona Other Z139140 NPI
Arizona MEDICAID 501341 NPI

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