Pak, Kirk Jihyon

Pak, Kirk Jihyon is an individual health care provider with primary practice located at 1104 E Grace St , Rensselaer IN 47978. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Pak, Kirk Jihyon can be contacted via phone (219) 866-5141.

Contact Information

Primary practice address
1104 E Grace St Rensselaer IN 47978
Fax: (219) 866-3234
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01076965A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.207561 Louisiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 01076965A Indiana

Profile Details

NPI number 1477812956
LBN Legal business name Pak, Kirk Jihyon
Credentials M.D., PH.D., M.SC.
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated Aug 15th, 2023 - about last year

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 1477812956 NPPES
Indiana MEDICAID 300006000
Indiana Other 000001195932
Indiana MEDICAID 2196472
Indiana MEDICAID 05809560

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