Kim, Jeffrey D.
Kim, Jeffrey D. is an individual health care provider with primary practice located at 4247 W Ridge Rd Ste 105 , Erie PA 16506-1746. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kim, Jeffrey D. can be contacted via phone (814) 838-2468.Contact Information
Primary practice address
4247 W Ridge Rd Ste 105
Erie PA 16506-1746
Phone: (814) 838-2468
Fax: (814) 835-2599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OS013025 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS013025 | Pennsylvania |
Profile Details
| NPI number | 1558311092 |
|---|---|
| LBN Legal business name | Kim, Jeffrey D. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Oct 5th, 2020 - about 6 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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