Kim, Sun Kuk

Kim, Sun Kuk is an individual health care provider with primary practice located at 4000 Coast Guard Blvd , Portsmouth VA 23703-2135. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kim, Sun Kuk can be contacted via phone (757) 483-8596.

Contact Information

Primary practice address
4000 Coast Guard Blvd Portsmouth VA 23703-2135
Fax: (757) 483-8610
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1123015

Profile Details

NPI number 1356532238
LBN Legal business name Kim, Sun Kuk
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Mar 7th, 2023 - about 2 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 1356532238 NPPES
Other 1123015 NCCPA
Other 25MP00362400 NCCPA

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