Kim, Wang Ki

Kim, Wang Ki is an individual health care provider with primary practice located at 100 Memorial Drive , Gowanda NY 14070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kim, Wang Ki can be contacted via phone (716) 532-9202.

Contact Information

Primary practice address
100 Memorial Drive Gowanda NY 14070
Phone: (716) 532-9202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 1233901 New York
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 1233901 New York

Profile Details

NPI number 1649345349
LBN Legal business name Kim, Wang Ki
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated May 24th, 2011 - about 14 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 1649345349 NPPES
New York Other 69440206 LIONEL R JOHN CONTRACT HE
New York Other 00020290301 LIONEL R JOHN CONTRACT HE
New York Other 1505718 LIONEL R JOHN CONTRACT HE
New York Other 5074651 LIONEL R JOHN CONTRACT HE
New York Other 005074651 LIONEL R JOHN CONTRACT HE
New York Other 074651 LIONEL R JOHN CONTRACT HE
New York Other 1042076 LIONEL R JOHN CONTRACT HE
New York Other 69440206 LIONEL R JOHN CONTRACT HE
New York MEDICAID 01429390 LIONEL R JOHN CONTRACT HE

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