Um, Ki-Bong

Um, Ki-Bong is an sole proprietor health care provider with primary practice located at 501 N Main St , Robersonville NC 27871-9567. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Um, Ki-Bong can be contacted via phone (252) 795-4192.

Contact Information

Primary practice address
501 N Main St Robersonville NC 27871-9567
Phone: (252) 795-4192
Fax: (252) 795-4739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25751 North Carolina

Profile Details

NPI number 1336195692
LBN Legal business name Um, Ki-Bong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Nov 30th, 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 1336195692 NPPES
North Carolina Other 84530 BC
North Carolina MEDICAID 8984530 BC
North Carolina Other 20503 BC

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