Kim, Edward

Kim, Edward is an individual health care provider with primary practice located at 415 6Th St , Lewiston ID 83501-2431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kim, Edward can be contacted via phone (208) 750-7507.

Contact Information

Primary practice address
415 6Th St Lewiston ID 83501-2431
Phone: (208) 750-7507
Fax: (208) 750-7384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 39929 Washington

Profile Details

NPI number 1386752913
LBN Legal business name Kim, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 10th, 2022 - about 4 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 1386752913 NPPES
Washington MEDICAID BK 5346970

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