Kim, Martha B.

Kim, Martha B. is an individual health care provider with primary practice located at 85 Sierra Park Road , Mammoth Lakes CA 93546. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kim, Martha B. can be contacted via phone (760) 924-4011.

Contact Information

Primary practice address
85 Sierra Park Road Mammoth Lakes CA 93546
Phone: (760) 924-4011
Fax: (760) 924-4104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD24081 Oregon

Profile Details

NPI number 1578539409
LBN Legal business name Kim, Martha B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 12th, 2013 - about 12 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 1578539409 NPPES
Oregon MEDICAID 287759

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