Kim, Patrick K

Kim, Patrick K is an individual health care provider with primary practice located at 51 N 39Th St , Philadelphia PA 19104-2640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Kim, Patrick K can be contacted via phone (215) 349-8310.

Contact Information

Primary practice address
51 N 39Th St Philadelphia PA 19104-2640
Fax: (215) 724-3560
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD066657L Pennsylvania
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD066657L Pennsylvania

Profile Details

NPI number 1205866860
LBN Legal business name Kim, Patrick K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 6th, 2019 - about 5 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 1205866860 NPPES
Pennsylvania MEDICAID 0019498000001

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