Kim, Kun Zoo
Kim, Kun Zoo is an sole proprietor health care provider with primary practice located at 3042 Oakcliff Rd Suite 200, Doraville GA 30340-2699. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Kim, Kun Zoo can be contacted via phone (770) 458-4255.Contact Information
Primary practice address
3042 Oakcliff Rd Suite 200
Doraville GA 30340-2699
Phone: (770) 458-4255
Fax: (770) 458-4406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 039608 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 039608 | Georgia |
Profile Details
| NPI number | 1568469591 |
|---|---|
| LBN Legal business name | Kim, Kun Zoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Jan 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568469591 | NPPES |
| Georgia | Other | 0683598 | CIGNA |
| Georgia | Other | 516833 | CIGNA |
| Georgia | Other | 52498637 | CIGNA |
| Georgia | MEDICAID | 000670458F | CIGNA |
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