Kim, Suckhong Brian

Kim, Suckhong Brian is an individual health care provider with primary practice located at 1540 E Evergreen St , Springfield MO 65803-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Kim, Suckhong Brian can be contacted via phone (417) 823-2900.

Contact Information

Primary practice address
1540 E Evergreen St Springfield MO 65803-4300
Phone: (417) 823-2900
Fax: (417) 886-2774
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R5J91 Missouri

Profile Details

NPI number 1922041839
LBN Legal business name Kim, Suckhong Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 9th, 2024 - about 7 months 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 1922041839 NPPES
Missouri MEDICAID 039014838
Missouri MEDICAID 202657011
Missouri Other P00958203
Missouri MEDICAID 1922041839
Missouri Other 107067
Missouri MEDICAID 188306001
Missouri Other P00361138

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