Kim, Preston Y
Kim, Preston Y is an individual health care provider with primary practice located at 10710 Charter Dr Suite 110, Columbia MD 21044-3258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Preston Y can be contacted via phone (410) 992-9797.Contact Information
Primary practice address
10710 Charter Dr Suite 110
Columbia MD 21044-3258
Phone: (410) 992-9797
Fax: (410) 730-0942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D0062386 | Maryland |
Profile Details
| NPI number | 1194715391 |
|---|---|
| LBN Legal business name | Kim, Preston Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Nov 9th, 2011 - about 13 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 | 1194715391 | NPPES |
| Maryland | MEDICAID | 007080700 |
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