Kim, Dae Y
Kim, Dae Y is an individual health care provider with primary practice located at 1145 S Utica Ave Suite 202, Tulsa OK 74104-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kim, Dae Y can be contacted via phone (918) 579-3130.Contact Information
Primary practice address
1145 S Utica Ave Suite 202
Tulsa OK 74104-4000
Phone: (918) 579-3130
Fax: (918) 579-3139
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 31577 | Oklahoma |
Profile Details
NPI number | 1003000597 |
---|---|
LBN Legal business name | Kim, Dae Y |
Credentials | M.D., PH.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2007 |
Last updated | Jul 15th, 2015 - 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 | 1003000597 | NPPES |
Texas | MEDICAID | 324649801 (MDACC) | |
Texas | Other | 8EB319 (MDACC) |
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