Kim, Kun

Kim, Kun is an individual health care provider with primary practice located at 176 Palisade Ave , Jersey City NJ 07306-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Kun can be contacted via phone (201) 945-2481.

Contact Information

Primary practice address
176 Palisade Ave Jersey City NJ 07306-1121
Fax: (201) 943-8105
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA02917100 New Jersey

Profile Details

NPI number 1083691091
LBN Legal business name Kim, Kun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 9th, 2007 - about 17 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 1083691091 NPPES
New Jersey MEDICAID 2503506

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