Kim, Victor Yonghoon

Kim, Victor Yonghoon is an individual health care provider with primary practice located at 9398 Baltimore National Pike , Ellicott City MD 21042-2802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Victor Yonghoon can be contacted via phone (410) 290-9990.

Contact Information

Primary practice address
9398 Baltimore National Pike Ellicott City MD 21042-2802
Phone: (410) 290-9990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D51586 Maryland

Profile Details

NPI number 1629092465
LBN Legal business name Kim, Victor Yonghoon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 28th, 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 1629092465 NPPES
Maryland MEDICAID 690301100
Maryland MEDICAID 022004300

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