Kim, Young Nam

Kim, Young Nam is an individual health care provider with primary practice located at 5501 Old York Rd Cpc Bldg, Philadelphia PA 19141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kim, Young Nam can be contacted via phone (215) 456-6500.

Contact Information

Primary practice address
5501 Old York Rd Cpc Bldg Philadelphia PA 19141
Phone: (215) 456-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD035175L Pennsylvania
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MD035175L Pennsylvania

Profile Details

NPI number 1902866510
LBN Legal business name Kim, Young Nam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Aug 10th, 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 1902866510 NPPES
Pennsylvania MEDICAID 0006580680004

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