Kim, Kristie Y

Kim, Kristie Y is an individual health care provider with primary practice located at 60 Township Line Rd , Elkins Park PA 19027-2220. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Other Service Providers / Acupuncturist, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Kim, Kristie Y can be contacted via phone (215) 663-6677.

Contact Information

Primary practice address
60 Township Line Rd Elkins Park PA 19027-2220
Phone: (215) 663-6677
Fax: (215) 663-6265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D44666 Maryland
Other Service Providers / Acupuncturist 171100000X
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2081N0008X D44666 Maryland
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD447500 Pennsylvania

Profile Details

NPI number 1326041559
LBN Legal business name Kim, Kristie Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 7th, 2023 - about 2 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 1326041559 NPPES
Maryland Other M41097 CDS
Maryland Other 25MA08727900 CDS
Maryland Other D44666 CDS
Maryland MEDICAID 312700100 CDS

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