Kim, Kyu C.
Kim, Kyu C. is an individual health care provider with primary practice located at 725 Albany St, Ste 8A Shapiro Bldg, Rheumatology, Boston MA 02118-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Kim, Kyu C. can be contacted via phone (617) 638-7460.Contact Information
Primary practice address
725 Albany St, Ste 8A Shapiro Bldg, Rheumatology
Boston MA 02118-2526
Phone: (617) 638-7460
Fax: (617) 638-7454
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 256190 | Massachusetts |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 256190 | Massachusetts |
Profile Details
NPI number | 1942442405 |
---|---|
LBN Legal business name | Kim, Kyu C. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 30th, 2009 |
Last updated | Apr 12th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942442405 | NPPES |
Massachusetts | MEDICAID | 110097584A | |
Massachusetts | MEDICAID | 3125045 |
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