Kim, Robert E

Kim, Robert E is an individual health care provider with primary practice located at 960 Joe Frank Harris Pkwy Se , Cartersville GA 30120-2129. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Robert E can be contacted via phone (678) 928-9759.

Contact Information

Primary practice address
960 Joe Frank Harris Pkwy Se Cartersville GA 30120-2129
Phone: (678) 928-9759
Fax: (678) 928-9759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 049389 Georgia
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 049389 Georgia

Profile Details

NPI number 1225087166
LBN Legal business name Kim, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Nov 4th, 2014 - about 10 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 1225087166 NPPES
Georgia MEDICAID 00910434

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