Kim, Christina J

Kim, Christina J is an individual health care provider with primary practice located at 13914 Southeastern Pkwy Ste 203A , Fishers IN 46037-7125. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Kim, Christina J can be contacted via phone (317) 582-9355.

Contact Information

Primary practice address
13914 Southeastern Pkwy Ste 203A Fishers IN 46037-7125
Phone: (317) 582-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 01063630A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01063630A Indiana

Profile Details

NPI number 1912006206
LBN Legal business name Kim, Christina J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jun 24th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912006206 NPPES
Indiana MEDICAID 200870490
Indiana Other P01192259
Indiana Other 7264357
Indiana Other 000000780867
Indiana Other 000000526962
Indiana Other 000000609663

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