Kim, Michael

Kim, Michael is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Kim, Michael can be contacted via phone (608) 262-2398.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0001
Phone: (608) 262-2398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35231 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35231 Wisconsin

Profile Details

NPI number 1801847652
LBN Legal business name Kim, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 27th, 2021 - about 4 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 1801847652 NPPES
Other 002000122H HUMANA
MEDICAID 32053200 HUMANA

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