Kim, Soo R.
Kim, Soo R. is an sole proprietor health care provider with primary practice located at 29 W Oneida St , Oswego NY 13126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Soo R. can be contacted via phone (315) 343-5970.Contact Information
Primary practice address
29 W Oneida St
Oswego NY 13126
Phone: (315) 343-5970
Fax: (315) 343-3739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 149942 | New York |
Profile Details
| NPI number | 1851475958 |
|---|---|
| LBN Legal business name | Kim, Soo R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Apr 9th, 2013 - about 12 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 | 1851475958 | NPPES |
| New York | MEDICAID | 00758076 |
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