Kim, Peter

Kim, Peter is an individual health care provider with primary practice located at 901 Shelby St , Indianapolis IN 46203-1151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kim, Peter can be contacted via phone (317) 488-2040.

Contact Information

Primary practice address
901 Shelby St Indianapolis IN 46203-1151
Phone: (317) 488-2040
Fax: (317) 488-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01050900A Indiana

Profile Details

NPI number 1760471593
LBN Legal business name Kim, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Sep 8th, 2011 - about 15 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 1760471593 NPPES
Indiana MEDICAID 200337610

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