Kim, Kenneth K.

Kim, Kenneth K. is an individual health care provider with primary practice located at 1656 Champlin Ave , Utica NY 13502-4830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kim, Kenneth K. can be contacted via phone (315) 624-6000.

Contact Information

Primary practice address
1656 Champlin Ave Utica NY 13502-4830
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 120136-1 New York

Profile Details

NPI number 1881685832
LBN Legal business name Kim, Kenneth K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Mar 18th, 2013 - about 10 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 1881685832 NPPES
New York MEDICAID 00543444

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