Kim, Henry J

Kim, Henry J is an individual health care provider with primary practice located at 58 Roy Beall Drive , Luverne AL 36049-7329. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology is his primary health care specialty. Kim, Henry J can be contacted via phone (334) 335-1212.

Contact Information

Primary practice address
58 Roy Beall Drive Luverne AL 36049-7329
Phone: (334) 335-1212
Fax: (334) 335-1217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA02405700 New Jersey
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 2080I0007X MD.30559 Alabama

Profile Details

NPI number 1871555326
LBN Legal business name Kim, Henry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Apr 18th, 2011 - about 15 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 1871555326 NPPES
New Jersey MEDICAID 0467103

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