Jin Koo Kim is a Nephrology in Bullhead City, Arizona. Jin Koo Kim practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Jin Koo Kim is 1467503920. The last update date is 2019-02-07.
Jin Koo Kim's current location address is 2580 Highway 95 Ste 224, Bullhead City, Arizona. You can contact this provider via phone number 9287637722 and fax number 9287637744. The mailing address for Jin Koo Kim is 2580 Highway 95 Ste 224, Bullhead City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jin Koo Kim |
|---|---|
| Address | 2580 Highway 95 Ste 224, Bullhead City, Arizona |
| Phone Number | 9287637722 |
| Fax Number | 9287637744 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1467503920 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2019-02-07 |
Provider Mailing Address Detail
| Address | 2580 Highway 95 Ste 224 |
|---|---|
| City | Bullhead City |
| State | Arizona (AZ) |
| Post Code | 864427332 |
| Phone Number | 9287637722 |
| Fax Number | 9287637744 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 41404 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 395430 | AZ | -- |
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What is the unique 10-digit identifier code issued to Jin Koo Kim by the Centers for Medicare & Medicaid Services?
The Jin Koo Kim has been assigned the NPI (National Provider Identifier) 1467503920 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Jin Koo Kim's physical address?
The Jin Koo Kim is physically located at 2580 Highway 95 Ste 224, in the city of Bullhead City, AZ, with the postal code 864427332.
What is Jin Koo Kim's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jin Koo Kim is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.
When did Jin Koo Kim receive its 1467503920 assignment?
The Jin Koo Kim was assigned its 1467503920 on 2007-01-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Jin Koo Kim most recently updated or revised?
The information pertaining to Jin Koo Kim, including its address, specialty, and other relevant details, was last updated or revised on 2019-02-07.
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