Kim, Soo Ah
Kim, Soo Ah is an individual health care provider with primary practice located at 14555 W National Ave Suite 165, New Berlin WI 53151-4494. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kim, Soo Ah can be contacted via phone (262) 827-7074.Contact Information
Primary practice address
14555 W National Ave Suite 165
New Berlin WI 53151-4494
Phone: (262) 827-7074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 62849 | Wisconsin |
Profile Details
| NPI number | 1851529929 |
|---|---|
| LBN Legal business name | Kim, Soo Ah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2009 |
| Last updated | Dec 8th, 2023 - about last year |
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 | 1851529929 | NPPES |
| Wisconsin | MEDICAID | 100040054 |
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