Kim, Richard Kyungho

Kim, Richard Kyungho is an individual health care provider with primary practice located at 1210 Medical Arts Blvd Ste 217B , Anderson IN 46011-3461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Kim, Richard Kyungho can be contacted via phone (765) 298-4470.

Contact Information

Primary practice address
1210 Medical Arts Blvd Ste 217B Anderson IN 46011-3461
Phone: (765) 298-4470
Fax: (765) 298-4975
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MT190323 Pennsylvania
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 55280 Colorado
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01074190A Indiana

Profile Details

NPI number 1790927580
LBN Legal business name Kim, Richard Kyungho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2009
Last updated Sep 23rd, 2021 - about 4 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 1790927580 NPPES
Indiana MEDICAID 300054280
Indiana Other MT190323

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