Kim, Philip S

Kim, Philip S is an sole proprietor health care provider with primary practice located at 931 E Haverford Rd Ste 202 , Bryn Mawr PA 19010-3838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kim, Philip S can be contacted via phone (844) 365-7246.

Contact Information

Primary practice address
931 E Haverford Rd Ste 202 Bryn Mawr PA 19010-3838
Phone: (844) 365-7246
Fax: (844) 516-0080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD060379L Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X C1-0006593 Delaware
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X C1-0006593 Delaware
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD060379L Pennsylvania

Profile Details

NPI number 1932194701
LBN Legal business name Kim, Philip S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2005
Last updated Apr 19th, 2023 - about last year

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 1932194701 NPPES
Pennsylvania MEDICAID 001613641
Pennsylvania MEDICAID 1000017122

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