Kim, Sung Yong

Kim, Sung Yong is an individual health care provider with primary practice located at 3409 South St , Portsmouth VA 23707-3219. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kim, Sung Yong can be contacted via phone (757) 399-0705.

Contact Information

Primary practice address
3409 South St Portsmouth VA 23707-3219
Phone: (757) 399-0705
Fax: (757) 399-3978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101022964 Virginia

Profile Details

NPI number 1790753762
LBN Legal business name Kim, Sung Yong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Jul 8th, 2007 - about 19 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 1790753762 NPPES
Virginia MEDICAID 6745075

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