Kim, Melanie S

Kim, Melanie S is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl Dowling 3 South, Boston MA 02118-2908. She recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as her primary health care specialty. Kim, Melanie S can be contacted via phone (617) 414-5170.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Dowling 3 South Boston MA 02118-2908
Phone: (617) 414-5170
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 56684 Massachusetts

Profile Details

NPI number 1780621086
LBN Legal business name Kim, Melanie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1780621086 NPPES
Massachusetts MEDICAID 3014746

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