Kim, Suk Ki

Kim, Suk Ki is an sole proprietor health care provider with primary practice located at 3332 Villa Pt Ste 104, Owensboro KY 42303-7818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kim, Suk Ki can be contacted via phone (270) 684-5679.

Contact Information

Primary practice address
3332 Villa Pt Ste 104 Owensboro KY 42303-7818
Phone: (270) 684-5679
Fax: (270) 684-5753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 17728 Kentucky

Profile Details

NPI number 1477557270
LBN Legal business name Kim, Suk Ki
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jan 29th, 2013 - about 11 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 1477557270 NPPES
Indiana MEDICAID 100001550A
Indiana MEDICAID 64177280

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