Kim, John W

Kim, John W is an individual health care provider with primary practice located at 6801 Dixie Hwy Suite 127, Louisville KY 40258-3913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kim, John W can be contacted via phone (502) 935-5633.

Contact Information

Primary practice address
6801 Dixie Hwy Suite 127 Louisville KY 40258-3913
Phone: (502) 935-5633
Fax: (502) 935-5706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34897 Kentucky

Profile Details

NPI number 1891778692
LBN Legal business name Kim, John W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated May 12th, 2009 - about 17 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 1891778692 NPPES
Kentucky Other 000000197358 BLUE SHIELD

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