Kim, Richard J

Kim, Richard J is an individual health care provider with primary practice located at 30 E Apple St Suite 5254A, Dayton OH 45409-2939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Richard J can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Suite 5254A Dayton OH 45409-2939
Fax: (937) 208-4205
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 16671 New Hampshire
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35123756 Ohio

Profile Details

NPI number 1285930875
LBN Legal business name Kim, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2011
Last updated Jul 11th, 2016 - about 9 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 1285930875 NPPES
Ohio MEDICAID 0105142

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