Kim, Chul H.

Kim, Chul H. is an individual health care provider with primary practice located at 223 Cibeque Circle Road , San Carlos AZ 85550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, Chul H. can be contacted via phone (928) 475-7219.

Contact Information

Primary practice address
223 Cibeque Circle Road San Carlos AZ 85550
Phone: (928) 475-7219
Fax: (928) 475-7370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D18717 Maryland

Profile Details

NPI number 1114036282
LBN Legal business name Kim, Chul H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 6th, 2013 - about 13 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 1114036282 NPPES
Arizona MEDICAID 888935

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