Kim, Seong Cheol

Kim, Seong Cheol is an sole proprietor health care provider with primary practice located at 2647 Meadowwedge Loop , St Cloud FL 34772. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kim, Seong Cheol can be contacted via phone (407) 793-4608.

Contact Information

Primary practice address
2647 Meadowwedge Loop St Cloud FL 34772
Phone: (407) 793-4608
Fax: (269) 651-1411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 039276 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X SK039276 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301039276 Michigan
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 039276 Michigan

Profile Details

NPI number 1457351702
LBN Legal business name Kim, Seong Cheol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Nov 17th, 2023 - about 2 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 1457351702 NPPES
Michigan MEDICAID 4542300

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