January J Kim in West Des Moines - Psychiatric/mental Health, Child & Adolescent
January J Kim - NPI 1609845759
January J Kim is a Psychiatric/mental Health, Child & Adolescent in West Des Moines, Iowa. January J Kim practices all healthcare services and medical treatments related to Psychiatric/mental Health, Child & Adolescent. The NPI Number for January J Kim is 1609845759. The last update date is 2020-06-24.
January J Kim's current location address is 1441 29th St Ste 305, West Des Moines, Iowa. You can contact this provider via phone number 5159852024 and fax number 5159852025. The mailing address for January J Kim is 1441 29th St Ste 305, West Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | January J Kim |
|---|---|
| Address | 1441 29th St Ste 305, West Des Moines, Iowa |
| Phone Number | 5159852024 |
| Fax Number | 5159852025 |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1609845759 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2020-06-24 |
Provider Mailing Address Detail
| Address | 1441 29th St Ste 305 |
|---|---|
| City | West Des Moines |
| State | Iowa (IA) |
| Post Code | 502661309 |
| Phone Number | 5159852024 |
| Fax Number | 5159852025 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatric/mental Health, Child & Adolescent |
|---|---|
| Taxonomy | 163Wp0807X |
| Licence No | 83414 |
|
Definition: A psychiatric nurse who cares for infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| IA0132 | IA | JOHN DEERE HC | |
| 43845 | IA | BLUE SHIELD | |
| 1045898 | IA | -- |
Post Comment/ Review Below
What is the January J Kim's 1609845759?
The January J Kim's NPI (National Provider Identifier) Number is 1609845759. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where January J Kim is geographically located?
The January J Kim is physically situated at the following location: 1441 29Th St Ste 305, West Des Moines, IA, 502661309.
What is the January J Kim's area of specialization and corresponding taxonomy classification?
The January J Kim's specialty field is Psychiatric/mental Health, Child & Adolescent, and it falls under the taxonomy code 163Wp0807X, which categorizes healthcare providers based on their specialties.
On what date did the January J Kim receive the assignment of its 1609845759 from the Centers for Medicare & Medicaid Services?
The January J Kim was issued its 1609845759 by the Centers for Medicare & Medicaid Services on 2006-03-14.
As of what date were the details related to January J Kim most recently updated or revised?
The information pertaining to January J Kim, including its address, specialty, and other relevant details, was last updated or revised on 2020-06-24.