Kim, Su Gym

Kim, Su Gym is an individual health care provider with primary practice located at 593 Eddy St George Building, First Floor, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kim, Su Gym can be contacted via phone (401) 444-3777.

Contact Information

Primary practice address
593 Eddy St George Building, First Floor Providence RI 02903-4923
Phone: (401) 444-3777
Fax: (401) 444-7249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 46722 Kentucky
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD15614 Rhode Island

Profile Details

NPI number 1235418369
LBN Legal business name Kim, Su Gym
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2011
Last updated Oct 26th, 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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