Kim, Sang H

Kim, Sang H is an individual health care provider with primary practice located at 761 Main Ave Suite 102, Norwalk CT 06851. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kim, Sang H can be contacted via phone (203) 810-4151.

Contact Information

Primary practice address
761 Main Ave Suite 102 Norwalk CT 06851
Fax: (203) 810-4150
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 044674 Connecticut
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2013-01906 North Carolina

Profile Details

NPI number 1942318209
LBN Legal business name Kim, Sang H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Feb 1st, 2017 - about 8 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 1942318209 NPPES
North Carolina MEDICAID 1942318209
North Carolina MEDICAID NC2066

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