Kim, Soon Gum

Kim, Soon Gum is an individual health care provider with primary practice located at 1705 E 19Th St Suite 302, Tulsa OK 74104-5405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Kim, Soon Gum can be contacted via phone (918) 748-7585.

Contact Information

Primary practice address
1705 E 19Th St Suite 302 Tulsa OK 74104-5405
Phone: (918) 748-7585
Fax: (918) 748-7539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 24651 Oklahoma

Profile Details

NPI number 1346200508
LBN Legal business name Kim, Soon Gum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jun 11th, 2010 - about 14 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 1346200508 NPPES
Oklahoma MEDICAID 200076720 A

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