Kim, David C.

Kim, David C. is an individual health care provider with primary practice located at 123 Summer St Ste 370N , Worcester MA 01608-1216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Kim, David C. can be contacted via phone (508) 964-5580.

Contact Information

Primary practice address
123 Summer St Ste 370N Worcester MA 01608-1216
Phone: (508) 964-5580
Fax: (508) 368-3957
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD049272L Pennsylvania
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 78337 Massachusetts
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 78337 Massachusetts

Profile Details

NPI number 1992721724
LBN Legal business name Kim, David C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated May 21st, 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 1992721724 NPPES
Massachusetts MEDICAID 110053618A

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