Kim, Olivia S
Kim, Olivia S is an individual health care provider with primary practice located at 132 Central St Suite 116, Foxboro MA 02035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Olivia S can be contacted via phone (508) 543-6306.Contact Information
Primary practice address
132 Central St Suite 116
Foxboro MA 02035
Phone: (508) 543-6306
Fax: (508) 543-2976
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 223317 | Massachusetts |
Profile Details
| NPI number | 1619940525 |
|---|---|
| LBN Legal business name | Kim, Olivia S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619940525 | NPPES |
| Other | J29040 | BLUE/SHIELD MA | |
| Other | 470382 | BLUE/SHIELD MA | |
| Other | AA39624 | BLUE/SHIELD MA |
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