Kim, Young I

Kim, Young I is an individual health care provider with primary practice located at 833 S Iowa St Suite 106, Dodgeville WI 53533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Kim, Young I can be contacted via phone (608) 935-9335.

Contact Information

Primary practice address
833 S Iowa St Suite 106 Dodgeville WI 53533
Phone: (608) 935-9335
Fax: (608) 935-2500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 18236 Wisconsin
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18236 Wisconsin

Profile Details

NPI number 1063430593
LBN Legal business name Kim, Young I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 22nd, 2010 - about 15 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 1063430593 NPPES
Wisconsin MEDICAID 31090600

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