Jimmy Lee Kim is a Gastroenterology in Cudahy, Wisconsin. Jimmy Lee Kim practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jimmy Lee Kim is 1861587263. The last update date is 2023-10-31.
Jimmy Lee Kim's current location address is 5900 S Lake Dr, Cudahy, Wisconsin. You can contact this provider via phone number 4144894190. The mailing address for Jimmy Lee Kim is 5900 S Lake Dr, Cudahy, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy Lee Kim |
|---|---|
| Address | 5900 S Lake Dr, Cudahy, Wisconsin |
| Phone Number | 4144894190 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861587263 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2023-10-31 |
Provider Mailing Address Detail
| Address | 5900 S Lake Dr |
|---|---|
| City | Cudahy |
| State | Wisconsin (WI) |
| Post Code | 531103171 |
| Phone Number | 4144894190 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 51366-20 |
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Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35296800 | WI | -- | |
| P00700734 | WI | RR MEDICARE |
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What is the unique 10-digit identifier code issued to Jimmy Lee Kim by the Centers for Medicare & Medicaid Services?
The Jimmy Lee Kim has been assigned the NPI (National Provider Identifier) 1861587263 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jimmy Lee Kim is geographically located?
The Jimmy Lee Kim is physically situated at the following location: 5900 S Lake Dr, Cudahy, WI, 531103171.
What is Jimmy Lee Kim's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jimmy Lee Kim is Gastroenterology, and the taxonomy code that classifies this field of practice is 207Rg0100X.
On what date was the 1861587263 assigned to Jimmy Lee Kim?
The Jimmy Lee Kim was issued its 1861587263 on 2006-10-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jimmy Lee Kim's information last updated?
The Jimmy Lee Kim's information was last updated on 2023-10-31.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA