Kim, Walter J
Kim, Walter J is an individual health care provider with primary practice located at 12500 Aurora Dr , Pleasant Prairie WI 53158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kim, Walter J can be contacted via phone (262) 854-5000.Contact Information
Primary practice address
12500 Aurora Dr
Pleasant Prairie WI 53158
Phone: (262) 854-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 69704 | Wisconsin |
Profile Details
| NPI number | 1497011852 |
|---|---|
| LBN Legal business name | Kim, Walter J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2012 |
| Last updated | Dec 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497011852 | NPPES |
| Wisconsin | MEDICAID | 100080577 |
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