Hor, Kem Su
Hor, Kem Su is an sole proprietor health care provider with primary practice located at 160 W Fillmore St , Colorado Springs CO 80907-6155. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Hor, Kem Su can be contacted via phone (719) 636-1299.Contact Information
Primary practice address
160 W Fillmore St
Colorado Springs CO 80907-6155
Phone: (719) 636-1299
Fax: (719) 636-9166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 39335 | Colorado |
Profile Details
| NPI number | 1629155205 |
|---|---|
| LBN Legal business name | Hor, Kem Su |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1629155205 | NPPES |
| Colorado | Other | HOA65018 | BLUE SHIELD |
| Colorado | MEDICAID | 83836870 | BLUE SHIELD |
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