Kim, Peter S.

Kim, Peter S. is an sole proprietor health care provider with primary practice located at 821 Poplar St , Highland IL 62249-1658. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Kim, Peter S. can be contacted via phone (618) 654-1281.

Contact Information

Primary practice address
821 Poplar St Highland IL 62249-1658
Phone: (618) 654-1281
Fax: (618) 654-1452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036090402 Illinois

Profile Details

NPI number 1942250030
LBN Legal business name Kim, Peter S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Apr 6th, 2016 - about 10 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 1942250030 NPPES
Illinois Other 213743 PTAN

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