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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912333592 NPPES
Florida MEDICAID 009675900

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