Kim, Dong Pil

Kim, Dong Pil is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kim, Dong Pil can be contacted via phone (360) 254-1240.

Contact Information

Primary practice address
700 Ne 87Th Ave Vancouver WA 98664-1913
Phone: (360) 254-1240
Fax: (360) 397-3128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD00047016 Washington

Profile Details

NPI number 1972607240
LBN Legal business name Kim, Dong Pil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Aug 18th, 2020 - about 6 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 1972607240 NPPES
Washington MEDICAID 8462590

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