Kim, Ki-Yoon
Kim, Ki-Yoon is an sole proprietor health care provider with primary practice located at 530 1St Ave # Hcc4G , New York NY 10016-6402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Ki-Yoon can be contacted via phone (646) 501-2465.Contact Information
Primary practice address
530 1St Ave # Hcc4G
New York NY 10016-6402
Phone: (646) 501-2465
Fax: (646) 754-9598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 315245 | New York |
Profile Details
| NPI number | 1558715110 |
|---|---|
| LBN Legal business name | Kim, Ki-Yoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2016 |
| Last updated | Oct 13th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558715110 | NPPES |
| California | MEDICAID | KK3232267556 |
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