Kim, Hyung Wook

Kim, Hyung Wook is an individual health care provider with primary practice located at 2500 North State Street University Rehabilitation Center, Jackson MS 39216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kim, Hyung Wook can be contacted via phone (601) 984-6525.

Contact Information

Primary practice address
2500 North State Street University Rehabilitation Center Jackson MS 39216
Phone: (601) 984-6525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 23057 Mississippi
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 23057 Mississippi

Profile Details

NPI number 1457337818
LBN Legal business name Kim, Hyung Wook
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Nov 17th, 2015 - about 11 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 1457337818 NPPES
Mississippi MEDICAID 03205061

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