Kim, Eugene M

Kim, Eugene M is an individual health care provider with primary practice located at 1441 N 12Th St Fl 3 , Phoenix AZ 85006-2837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Kim, Eugene M can be contacted via phone (602) 521-5100.

Contact Information

Primary practice address
1441 N 12Th St Fl 3 Phoenix AZ 85006-2837
Phone: (602) 521-5100
Fax: (623) 707-4243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 33968 Arizona

Profile Details

NPI number 1770570293
LBN Legal business name Kim, Eugene M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770570293 NPPES
Arizona MEDICAID 933128

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