Kim, John J

Kim, John J is an individual health care provider with primary practice located at 980 W Ironwood Dr Suite 304, Coeur D Alene ID 83814-2668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, John J can be contacted via phone (208) 765-4888.

Contact Information

Primary practice address
980 W Ironwood Dr Suite 304 Coeur D Alene ID 83814-2668
Phone: (208) 765-4888
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A74177 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M-11024 Idaho

Profile Details

NPI number 1891717088
LBN Legal business name Kim, John J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated May 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891717088 NPPES
Idaho MEDICAID 1891717088

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