Kim, Shelley E
Kim, Shelley E is an individual health care provider with primary practice located at 3367 Buford Hwy Ne Suite 910, Atlanta GA 30329-1833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Shelley E can be contacted via phone (678) 843-8700.Contact Information
Primary practice address
3367 Buford Hwy Ne Suite 910
Atlanta GA 30329-1833
Phone: (678) 843-8700
Fax: (404) 633-0502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52763 | Georgia |
Profile Details
| NPI number | 1528174117 |
|---|---|
| LBN Legal business name | Kim, Shelley E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528174117 | NPPES |
| Georgia | MEDICAID | 977586582B | |
| Georgia | MEDICAID | 977586582C |
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