Kim, Mike

Kim, Mike is an sole proprietor health care provider with primary practice located at 2900 Louisiana Boulevard Northeast Suite C1, Albuquerque NM 87110. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Prescribing (Medical), Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Prescribing (Medical) is his primary health care specialty. Kim, Mike can be contacted via phone (505) 884-7873.

Contact Information

Primary practice address
2900 Louisiana Boulevard Northeast Suite C1 Albuquerque NM 87110
Phone: (505) 884-7873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 0036 New Mexico
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY21256 California

Profile Details

NPI number 1104160910
LBN Legal business name Kim, Mike
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2012
Last updated Sep 14th, 2016 - about 9 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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