Kim, Young Wook

Kim, Young Wook is an individual health care provider with primary practice located at 1201 Langhorne Newtown Rd , Langhorne PA 19047-1201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Young Wook can be contacted via phone (215) 710-2196.

Contact Information

Primary practice address
1201 Langhorne Newtown Rd Langhorne PA 19047-1201
Phone: (215) 710-2196
Fax: (215) 710-2408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD031232L Pennsylvania

Profile Details

NPI number 1043207012
LBN Legal business name Kim, Young Wook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 23rd, 2009 - 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 1043207012 NPPES
Pennsylvania MEDICAID 0010454820001

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