Way, Samara Kim

Way, Samara Kim is an sole proprietor health care provider with primary practice located at 4510 N 37Th Ave , Phoenix AZ 85019-3206. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Way, Samara Kim can be contacted via phone (602) 589-0110.

Contact Information

Primary practice address
4510 N 37Th Ave Phoenix AZ 85019-3206
Fax: (602) 589-0140
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3577 Arizona

Profile Details

NPI number 1275756199
LBN Legal business name Way, Samara Kim
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 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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