Kim, Young Rock

Kim, Young Rock is an sole proprietor health care provider with primary practice located at 9815 Twin Creek Blvd , Munster IN 46321-4122. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kim, Young Rock can be contacted via phone (219) 924-2295.

Contact Information

Primary practice address
9815 Twin Creek Blvd Munster IN 46321-4122
Phone: (219) 924-2295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01026128A Indiana

Profile Details

NPI number 1457556938
LBN Legal business name Kim, Young Rock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2007
Last updated Jul 9th, 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 1457556938 NPPES
Indiana Other 01026128A PHYSICIAN

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