Kim, Kyong-Mee S

Kim, Kyong-Mee S is an sole proprietor health care provider with primary practice located at 1688 Willow St Suite C, San Jose CA 95125-5109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Kim, Kyong-Mee S can be contacted via phone (408) 448-2817.

Contact Information

Primary practice address
1688 Willow St Suite C San Jose CA 95125-5109
Phone: (408) 448-2817
Fax: (408) 448-4807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X A77494 California

Profile Details

NPI number 1588636203
LBN Legal business name Kim, Kyong-Mee S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated May 27th, 2010 - about 14 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 1588636203 NPPES
California MEDICAID 00A774940

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