Kim, Young Un

Kim, Young Un is an individual health care provider with primary practice located at 30 E Apple St Ste 5254A, Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kim, Young Un can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Ste 5254A Dayton OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X COA.16955-NS Ohio

Profile Details

NPI number 1700274347
LBN Legal business name Kim, Young Un
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2015
Last updated Oct 17th, 2015 - about 11 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 1700274347 NPPES
Ohio MEDICAID 0116918

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