Kim, Sang Keun
Kim, Sang Keun is an individual health care provider with primary practice located at 875 Poplar Church Rd Suite 400, Camp Hill PA 17011-2203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kim, Sang Keun can be contacted via phone (717) 724-6450.Contact Information
Primary practice address
875 Poplar Church Rd Suite 400
Camp Hill PA 17011-2203
Phone: (717) 724-6450
Fax: (717) 724-6451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD065849L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD065849L | Pennsylvania |
Profile Details
| NPI number | 1336142579 |
|---|---|
| LBN Legal business name | Kim, Sang Keun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Aug 21st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336142579 | NPPES |
| Other | 060071369 | RAILROAD MEDICARE | |
| MEDICAID | 0018458330004 | RAILROAD MEDICARE |
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