Kim, Young C

Kim, Young C is an individual health care provider with primary practice located at 18697 Bagley Road , Middleburg Heights OH 44130-3417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, Young C can be contacted via phone (440) 816-8770.

Contact Information

Primary practice address
18697 Bagley Road Middleburg Heights OH 44130-3417
Phone: (440) 816-8770
Fax: (440) 816-8806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35045848 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35.045848 Ohio

Profile Details

NPI number 1306846167
LBN Legal business name Kim, Young C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Sep 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306846167 NPPES
Ohio Other 000000341983 BC/BS INDIVIDUAL PIN NO
Ohio Other 000000559893 BC/BS INDIVIDUAL PIN NO
Ohio Other 000000234730 BC/BS INDIVIDUAL PIN NO
Ohio Other 0304914 BC/BS INDIVIDUAL PIN NO
Ohio MEDICAID 0448359 BC/BS INDIVIDUAL PIN NO
Ohio Other P00600868 BC/BS INDIVIDUAL PIN NO

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