Kim, Dean Y.
Kim, Dean Y. is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Kim, Dean Y. can be contacted via phone (313) 916-2436.Contact Information
Primary practice address
Henry Ford Health System 2799 West Grand Boulevard
Detroit MI 48202
Phone: (313) 916-2436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 4301082339 | Michigan |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301082339 | Michigan |
Profile Details
| NPI number | 1215090832 |
|---|---|
| LBN Legal business name | Kim, Dean Y. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Apr 15th, 2025 - about last year |
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 | 1215090832 | NPPES |
| Other | 700H262310 | BLUE CROSS-BLUE CROSS | |
| Other | DK082339 | BLUE CROSS-BLUE CROSS | |
| MEDICAID | 454302110 | BLUE CROSS-BLUE CROSS | |
| Other | DK082339 | BLUE CROSS-BLUE CROSS |
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