Kim, So Ra
Kim, So Ra is an individual health care provider with primary practice located at 405 S Morrison Rd Apt # 99, Muncie IN 47304-4043. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Kim, So Ra can be contacted via phone (702) 743-0286.Contact Information
Primary practice address
405 S Morrison Rd Apt # 99
Muncie IN 47304-4043
Phone: (702) 743-0286
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11014847A | Indiana |
Profile Details
| NPI number | 1679700918 |
|---|---|
| LBN Legal business name | Kim, So Ra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2009 |
| Last updated | Jun 15th, 2009 - about 17 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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