Kim, Youngki
Kim, Youngki is an individual health care provider with primary practice located at 516 Delaware St Se Pwb 4Th Floor, Room 4-100, Minneapolis MN 55455-0356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Nephrology. Allopathic & Osteopathic Physicians / Pediatric Nephrology is his primary health care specialty. Kim, Youngki can be contacted via phone (612) 626-6777.Contact Information
Primary practice address
516 Delaware St Se Pwb 4Th Floor, Room 4-100
Minneapolis MN 55455-0356
Phone: (612) 626-6777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22048 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 22048 | Minnesota |
Profile Details
| NPI number | 1689764144 |
|---|---|
| LBN Legal business name | Kim, Youngki |
| Credentials | M |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Oct 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689764144 | NPPES |
| Minnesota | Other | 053926 | FAIRVIEW |
| Minnesota | MEDICAID | 2104458 | FAIRVIEW |
| Minnesota | Other | 768197 | FAIRVIEW |
| Minnesota | Other | 3107051 | FAIRVIEW |
| Minnesota | Other | 3107051 | FAIRVIEW |
| Minnesota | Other | 2T291KI | FAIRVIEW |
| Minnesota | Other | HP21987 | FAIRVIEW |
| Minnesota | MEDICAID | 0990457 | FAIRVIEW |
| Minnesota | Other | 1012191 | FAIRVIEW |
| Minnesota | MEDICAID | 10387 | FAIRVIEW |
| Minnesota | MEDICAID | 30200800 | FAIRVIEW |
| Minnesota | MEDICAID | 0012087 | FAIRVIEW |
| Minnesota | MEDICAID | 64421308 | FAIRVIEW |
| Minnesota | Other | A063 | FAIRVIEW |
| Minnesota | Other | 101068 | FAIRVIEW |
| Minnesota | MEDICAID | 685883000 | FAIRVIEW |
| Minnesota | MEDICAID | 7777470 | FAIRVIEW |
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