Kim, Timothy S

Kim, Timothy S is an individual health care provider with primary practice located at 51221 Schoenherr, Suite 201 , Shelby Township MI 48315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Timothy S can be contacted via phone (586) 254-3545.

Contact Information

Primary practice address
51221 Schoenherr, Suite 201 Shelby Township MI 48315
Phone: (586) 254-3545
Fax: (586) 254-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 064094 Michigan

Profile Details

NPI number 1659303626
LBN Legal business name Kim, Timothy S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 18th, 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 1659303626 NPPES
Michigan MEDICAID 3465047

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