Kim, Seung Kwan

Kim, Seung Kwan is an individual health care provider with primary practice located at 3520 147Th St Suite 1D,1E,1F, Flushing NY 11354-3765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Kim, Seung Kwan can be contacted via phone (718) 321-2870.

Contact Information

Primary practice address
3520 147Th St Suite 1D,1E,1F Flushing NY 11354-3765
Phone: (718) 321-2870
Fax: (718) 321-2891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 169723 New York

Profile Details

NPI number 1740251701
LBN Legal business name Kim, Seung Kwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 16th, 2021 - about 5 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 1740251701 NPPES
New York MEDICAID 01093241

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