Kim, Lydia

Kim, Lydia is an individual health care provider with primary practice located at 200 N Wolfe St Ste 3075 , Baltimore MD 21287. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Lydia can be contacted via phone (410) 955-2035.

Contact Information

Primary practice address
200 N Wolfe St Ste 3075 Baltimore MD 21287
Fax: (410) 955-1030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D80188 Maryland

Profile Details

NPI number 1043586548
LBN Legal business name Kim, Lydia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2012
Last updated Jun 11th, 2019 - about 7 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 1043586548 NPPES
Maryland Other D80188 LICENSE

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