Jeffrey L Kim is a Specialist in Marietta, Georgia. Jeffrey L Kim practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeffrey L Kim is 1275506560. The last update date is 2018-05-31.
Jeffrey L Kim's current location address is 711 Canton Rd Ne Ste 300, Marietta, Georgia. You can contact this provider via phone number 6787415000 and fax number 6788194280. The mailing address for Jeffrey L Kim is 711 Canton Rd Ne Ste 300, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey L Kim |
|---|---|
| Address | 711 Canton Rd Ne Ste 300, Marietta, Georgia |
| Phone Number | 6787415000 |
| Fax Number | 6788194280 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275506560 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2018-05-31 |
Provider Mailing Address Detail
| Address | 711 Canton Rd Ne Ste 300 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300608949 |
| Phone Number | 6787415000 |
| Fax Number | 6788194280 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 56117 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 247569424B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jeffrey L Kim by the Centers for Medicare & Medicaid Services?
The Jeffrey L Kim has been assigned the NPI (National Provider Identifier) 1275506560 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeffrey L Kim is located?
The Jeffrey L Kim is situated at the following address: 711 Canton Rd Ne Ste 300, Marietta, GA, 300608949.
What is Jeffrey L Kim's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey L Kim is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Jeffrey L Kim receive the assignment of its 1275506560 from the Centers for Medicare & Medicaid Services?
The Jeffrey L Kim was issued its 1275506560 by the Centers for Medicare & Medicaid Services on 2006-02-08.
As of what date was the information regarding Jeffrey L Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey L Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-05-31.