Kim, Yong S

Kim, Yong S is an individual health care provider with primary practice located at 15350 Trenton Rd , Southgate MI 48195-2027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Yong S can be contacted via phone (734) 283-4616.

Contact Information

Primary practice address
15350 Trenton Rd Southgate MI 48195-2027
Phone: (734) 283-4616
Fax: (734) 283-5430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301031868 Michigan

Profile Details

NPI number 1962469866
LBN Legal business name Kim, Yong S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962469866 NPPES
Michigan MEDICAID 1031093

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