Kim, Kyung
Kim, Kyung is an individual health care provider with primary practice located at 389 Route 10 East , East Hanover NJ 07936. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kim, Kyung can be contacted via phone (973) 781-0800.Contact Information
Primary practice address
389 Route 10 East
East Hanover NJ 07936
Phone: (973) 781-0800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005847 | New York |
Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00550300 | New Jersey |
Eye and Vision Services Providers / Optometrist | 152W00000X | 27TO00088800 | New Jersey |
Profile Details
NPI number | 1942368741 |
---|---|
LBN Legal business name | Kim, Kyung |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 5th, 2006 |
Last updated | Apr 15th, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942368741 | NPPES |
New Jersey | MEDICAID | 7452004 |
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