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
Phone: (757) 483-8596
Fax: (757) 483-8610
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1356532238 | NPPES |
Other | 1123015 | NCCPA | |
Other | 25MP00362400 | NCCPA |
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