Kim, P John

Kim, P John is an sole proprietor health care provider with primary practice located at 18635 Nw Us Highway 441 , High Springs FL 32643-8708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, P John can be contacted via phone (386) 454-2724.

Contact Information

Primary practice address
18635 Nw Us Highway 441 High Springs FL 32643-8708
Phone: (386) 454-2724
Fax: (386) 454-2899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0045274 Florida

Profile Details

NPI number 1669472098
LBN Legal business name Kim, P John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Feb 24th, 2017 - about 7 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 1669472098 NPPES
Florida MEDICAID 044632700
Florida Other 080010562

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