Kim, Sun S

Kim, Sun S is an individual health care provider with primary practice located at 328 Shrewsbury St Department Of Psychiatry, Worcester MA 01604-4613. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Kim, Sun S can be contacted via phone (508) 334-2537.

Contact Information

Primary practice address
328 Shrewsbury St Department Of Psychiatry Worcester MA 01604-4613
Phone: (508) 334-2537
Fax: (508) 334-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 279972 Massachusetts

Profile Details

NPI number 1992942148
LBN Legal business name Kim, Sun S
Credentials RN PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2009
Last updated May 1st, 2014 - about 10 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 1992942148 NPPES
Massachusetts Other 279972 MASSACHUSETTS LICENSE

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