Kim, Won S

Kim, Won S is an individual health care provider with primary practice located at 815 Pennsylvania Ave , Fort Worth TX 76104-2224. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Won S can be contacted via phone (817) 321-0312.

Contact Information

Primary practice address
815 Pennsylvania Ave Fort Worth TX 76104-2224
Fax: (817) 317-7033
Website:

Profile Details

NPI number 1205816618
LBN Legal business name Kim, Won S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 15th, 2012 - about 12 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 1205816618 NPPES
Texas MEDICAID 137784808

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