Kim, Eun A

Kim, Eun A is an individual health care provider with primary practice located at 5900 Cedar Ln , Columbia MD 21044-3635. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Kim, Eun A can be contacted via phone (443) 718-4067.

Contact Information

Primary practice address
5900 Cedar Ln Columbia MD 21044-3635
Phone: (443) 718-4067
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 60459923 Washington
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD60459923 Washington

Profile Details

NPI number 1700291689
LBN Legal business name Kim, Eun A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2014
Last updated Feb 15th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700291689 NPPES
Washington MEDICAID 2039060

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