Kim, Michael

Kim, Michael is an individual health care provider with primary practice located at 41 Highland Ave , Winchester MA 01890-1446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kim, Michael can be contacted via phone (781) 729-2000.

Contact Information

Primary practice address
41 Highland Ave Winchester MA 01890-1446
Fax: (781) 756-7274
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 81882 Massachusetts

Profile Details

NPI number 1710908140
LBN Legal business name Kim, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 2nd, 2016 - about 8 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 1710908140 NPPES
Massachusetts MEDICAID 3145671

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