Kim, Soon

Kim, Soon is an individual health care provider with primary practice located at 1516 Virginia Ranch Rd , Gardnerville NV 89410-5794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Kim, Soon can be contacted via phone (775) 783-3020.

Contact Information

Primary practice address
1516 Virginia Ranch Rd Gardnerville NV 89410-5794
Phone: (775) 783-3020
Fax: (775) 783-3021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 10696 Nevada

Profile Details

NPI number 1649381153
LBN Legal business name Kim, Soon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jan 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649381153 NPPES
Nevada MEDICAID 100502384

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