Jeannette K Kim in Philadelphia - General Practice

Jeannette K Kim - NPI 1467471987

Jeannette K Kim is a General Practice in Philadelphia, Pennsylvania. Jeannette K Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeannette K Kim is 1467471987. The last update date is 2007-07-08.

Jeannette K Kim's current location address is 1012 Cottman Ave. 2nd Floor, Philadelphia, Pennsylvania. You can contact this provider via phone number 2673079691 and fax number 2153428409. The mailing address for Jeannette K Kim is 1012 Cottman Ave. 2nd Floor, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeannette K Kim
Address 1012 Cottman Ave. 2nd Floor, Philadelphia, Pennsylvania
Phone Number 2673079691
Fax Number 2153428409
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1467471987
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1012 Cottman Ave. 2nd Floor
City Philadelphia
State Pennsylvania (PA)
Post Code 19111
Phone Number 2673079691
Fax Number 2153428409

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS-031351-L
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Jeannette K Kim

What is the unique 10-digit identification code assigned to Jeannette K Kim by the Centers for Medicare & Medicaid Services?

The Jeannette K Kim has been issued the NPI (National Provider Identifier) 1467471987, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jeannette K Kim is geographically located?

The Jeannette K Kim is physically situated at the following location: 1012 Cottman Ave. 2Nd Floor, Philadelphia, PA, 19111.

What is Jeannette K Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jeannette K Kim is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1467471987 to Jeannette K Kim?

The Jeannette K Kim received its 1467471987 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date were the Jeannette K Kim's details last updated?

The information pertaining to the Jeannette K Kim, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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