Kim, Soonkyum

Kim, Soonkyum is an individual health care provider with primary practice located at 230 West Jersey St Ste 102 , Elizabeth NJ 07202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Soonkyum can be contacted via phone (908) 352-8383.

Contact Information

Primary practice address
230 West Jersey St Ste 102 Elizabeth NJ 07202
Phone: (908) 352-8383
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MA40076 New Jersey

Profile Details

NPI number 1942217617
LBN Legal business name Kim, Soonkyum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1942217617 NPPES
New Jersey MEDICAID 3945600

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