Jong Gu Kim is a Otolaryngology in Ashtabula, Ohio. Jong Gu Kim practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jong Gu Kim is 1265449961. The last update date is 2007-10-03.
Jong Gu Kim's current location address is 2221 East Prospect, Ashtabula, Ohio. You can contact this provider via phone number 4409975781 and fax number 4409975725. The mailing address for Jong Gu Kim is 2221 East Prospect, Ashtabula, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jong Gu Kim |
|---|---|
| Address | 2221 East Prospect, Ashtabula, Ohio |
| Phone Number | 4409975781 |
| Fax Number | 4409975725 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265449961 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | 2221 East Prospect |
|---|---|
| City | Ashtabula |
| State | Ohio (OH) |
| Post Code | 44004 |
| Phone Number | 4409975781 |
| Fax Number | 4409975725 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 35365 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 217661 | OH | -- |
Post Comment/ Review Below
What is the Jong Gu Kim's unique identification number?
The Jong Gu Kim has been assigned the NPI (National Provider Identifier) Number 1265449961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jong Gu Kim's physical address?
The Jong Gu Kim is physically located at 2221 East Prospect, in the city of Ashtabula, OH, with the postal code 44004.
What is Jong Gu Kim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jong Gu Kim is Otolaryngology, and the taxonomy classification code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265449961 to Jong Gu Kim?
The Centers for Medicare & Medicaid Services originally issued the 1265449961 to Jong Gu Kim on 2006-08-02.
As of what date was the information regarding Jong Gu Kim, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jong Gu Kim, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-03.
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