Park, Frederick Kim
Park, Frederick Kim is an individual health care provider with primary practice located at 4008 Capital Drive , Rocky Mount NC 27804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Park, Frederick Kim can be contacted via phone (252) 937-5003.Contact Information
Primary practice address
4008 Capital Drive
Rocky Mount NC 27804
Phone: (252) 937-5003
Fax: (252) 937-3020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 36793 | North Carolina |
Profile Details
| NPI number | 1407964547 |
|---|---|
| LBN Legal business name | Park, Frederick Kim |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Feb 18th, 2016 - about 9 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 | 1407964547 | NPPES |
| North Carolina | Other | 65228 | BCBS |
| North Carolina | MEDICAID | 7965228 | BCBS |
| North Carolina | Other | P00159404 | BCBS |
| North Carolina | Other | DC2876 | BCBS |
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