Kim, Susie

Kim, Susie is an individual health care provider with primary practice located at 90 Ritchie Hwy , Pasadena MD 21122-4303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Kim, Susie can be contacted via phone (410) 987-2003.

Contact Information

Primary practice address
90 Ritchie Hwy Pasadena MD 21122-4303
Phone: (410) 987-2003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35132226 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X D90616 Maryland

Profile Details

NPI number 1861819153
LBN Legal business name Kim, Susie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Feb 1st, 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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