Kim, Timothy D. S.

Kim, Timothy D. S. is an individual health care provider with primary practice located at 94-1480 Moaniani St , Waipahu HI 96797-4632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kim, Timothy D. S. can be contacted via phone (808) 432-3100.

Contact Information

Primary practice address
94-1480 Moaniani St Waipahu HI 96797-4632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-9699 Hawaii

Profile Details

NPI number 1962418939
LBN Legal business name Kim, Timothy D. S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated May 7th, 2021 - about 3 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 1962418939 NPPES
Hawaii Other 0000213728 HMSA BILLING NUMBER
Hawaii MEDICAID 08747101 HMSA BILLING NUMBER

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