Myung-Sup Kim Md Pa

LBN: Myung-Sup Kim Md Pa
Myung-Sup Kim Md Pa is an health care organization with primary practice located at Rt 55 West , Petersburg WV 26847. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Myung-Sup Kim Md Pa can be contacted via phone (304) 257-1026, or through Kim, Myung-Sup via phone (301) 724-1646.

Contact Information

Primary practice address
Rt 55 West Petersburg WV 26847
Phone: (304) 257-1026
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Myung-Sup Doctor of Medicine (MD)
Phone: (301) 724-1646

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1457311656
LBN Legal business name Myung-Sup Kim Md Pa
DBA Doing business as
Authorized official Kim, Myung-Sup Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457311656 NPPES
West Virginia MEDICAID 3810011406
West Virginia MEDICAID 991702100
West Virginia Other S366
West Virginia Other 02059300
West Virginia Other 001708869
West Virginia Other 1120362
West Virginia Other KCD4

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