Kim, Philip S
Kim, Philip S is an sole proprietor health care provider with primary practice located at 931 E Haverford Rd Ste 202 , Bryn Mawr PA 19010-3838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Kim, Philip S can be contacted via phone (844) 365-7246.Contact Information
Primary practice address
931 E Haverford Rd Ste 202
Bryn Mawr PA 19010-3838
Phone: (844) 365-7246
Fax: (844) 516-0080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD060379L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | C1-0006593 | Delaware |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | C1-0006593 | Delaware |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | MD060379L | Pennsylvania |
Profile Details
| NPI number | 1932194701 |
|---|---|
| LBN Legal business name | Kim, Philip S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Apr 19th, 2023 - about 2 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 | 1932194701 | NPPES |
| Pennsylvania | MEDICAID | 001613641 | |
| Pennsylvania | MEDICAID | 1000017122 |
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