Kim, Victoria
Kim, Victoria is an individual health care provider with primary practice located at 1660 Route 112 Unit C-1 , Port Jefferson Station NY 11776-8057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kim, Victoria can be contacted via phone (631) 792-7278.Contact Information
Primary practice address
1660 Route 112 Unit C-1
Port Jefferson Station NY 11776-8057
Phone: (631) 792-7278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 349780 | New York |
Profile Details
| NPI number | 1437878295 |
|---|---|
| LBN Legal business name | Kim, Victoria |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2022 |
| Last updated | Mar 13th, 2023 - about last year |
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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