Kim, Susan
Kim, Susan is an sole proprietor health care provider with primary practice located at 21011 Storrs Rd , Sackets Harbor NY 13685-3172. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Kim, Susan can be contacted via phone (720) 771-6691.Contact Information
Primary practice address
21011 Storrs Rd
Sackets Harbor NY 13685-3172
Phone: (720) 771-6691
Fax: (720) 771-6691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1105343 | Colorado |
Profile Details
| NPI number | 1861893000 |
|---|---|
| LBN Legal business name | Kim, Susan |
| Credentials | MS, RD, CNSC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Jul 21st, 2022 - 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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