Kim, Dong W
Kim, Dong W is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-3054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Kim, Dong W can be contacted via phone (615) 936-2000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-3054
Phone: (615) 936-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | M7333 | Texas |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 66747 | Tennessee |
Profile Details
| NPI number | 1861422420 |
|---|---|
| LBN Legal business name | Kim, Dong W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | May 10th, 2023 - about 3 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 | 1861422420 | NPPES |
| Texas | MEDICAID | 206229105 | |
| Texas | MEDICAID | Q079285 | |
| Texas | Other | PO1520687 |
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