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:
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Health care specialties

SpecialtyCodeLicense #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 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 1942368741 NPPES
New Jersey MEDICAID 7452004

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