Kim, Samuel A.

Kim, Samuel A. is an individual health care provider with primary practice located at 232 W 25Th St , Erie PA 16544-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Samuel A. can be contacted via phone (814) 452-5000.

Contact Information

Primary practice address
232 W 25Th St Erie PA 16544-0002
Phone: (814) 452-5000
Fax: (814) 452-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD063595L Pennsylvania

Profile Details

NPI number 1902899404
LBN Legal business name Kim, Samuel A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 17 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 1902899404 NPPES
Pennsylvania MEDICAID 0017111880003

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