Kim, Yon Son Betty
Kim, Yon Son Betty is an individual health care provider with primary practice located at 4500 San Pablo Rd S , Jacksonville FL 32224-1865. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Kim, Yon Son Betty can be contacted via phone (904) 953-2000.Contact Information
Primary practice address
4500 San Pablo Rd S
Jacksonville FL 32224-1865
Phone: (904) 953-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME117532 | Florida |
Profile Details
| NPI number | 1912333592 |
|---|---|
| LBN Legal business name | Kim, Yon Son Betty |
| Credentials | MD, PHD, FRCSC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2013 |
| Last updated | Dec 22nd, 2017 - about 9 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 | 1912333592 | NPPES |
| Florida | MEDICAID | 009675900 |
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