Kim, Lyndon

Kim, Lyndon is an individual health care provider with primary practice located at 909 Walnut St 2Nd Floor, Philadelphia PA 19107-5211. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Kim, Lyndon can be contacted via phone (215) 955-7000.

Contact Information

Primary practice address
909 Walnut St 2Nd Floor Philadelphia PA 19107-5211
Phone: (215) 955-7000
Fax: (215) 503-7007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 234593 Massachusetts
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD439207 Pennsylvania

Profile Details

NPI number 1225079486
LBN Legal business name Kim, Lyndon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Mar 19th, 2014 - about 12 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 1225079486 NPPES
Pennsylvania MEDICAID 102470466
Pennsylvania MEDICAID 402368400
Pennsylvania MEDICAID 0239674

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