Kim, Kyoung S

Kim, Kyoung S is an individual health care provider with primary practice located at 169 North Plank Road , Newburgh NY 12550. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Kyoung S can be contacted via phone (845) 561-6191.

Contact Information

Primary practice address
169 North Plank Road Newburgh NY 12550
Phone: (845) 561-6191
Fax: (845) 561-4145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 143328 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 143328 New York

Profile Details

NPI number 1699864959
LBN Legal business name Kim, Kyoung S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 19th, 2009 - about 15 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 1699864959 NPPES
New York MEDICAID 00510114060

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