Jeong H. Kim is a Addiction Medicine in Bothell, Washington. Jeong H. Kim practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jeong H. Kim is 1861591786. The last update date is 2019-08-01.
Jeong H. Kim's current location address is 3814 222nd Pl Se, Bothell, Washington. You can contact this provider via phone number 4259227401 and fax number 4258995304. The mailing address for Jeong H. Kim is 3814 222nd Pl Se, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeong H. Kim |
|---|---|
| Address | 3814 222nd Pl Se, Bothell, Washington |
| Phone Number | 4259227401 |
| Fax Number | 4258995304 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1861591786 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2019-08-01 |
Provider Mailing Address Detail
| Address | 3814 222nd Pl Se |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980214220 |
| Phone Number | 4259227401 |
| Fax Number | 4258995304 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | MD00036606 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020945 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeong H. Kim?
The Jeong H. Kim has been issued the NPI (National Provider Identifier) 1861591786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jeong H. Kim's facilities are geographically located?
The facilities of Jeong H. Kim are physically situated at the following location: 3814 222Nd Pl Se, Bothell, WA, 980214220.
What is the area of specialization for Jeong H. Kim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jeong H. Kim is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0401X.
On what date did the Jeong H. Kim receive the assignment of its 1861591786 from the Centers for Medicare & Medicaid Services?
The Jeong H. Kim was issued its 1861591786 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date were the details pertaining to Jeong H. Kim last refreshed?
The information related to the Jeong H. Kim, including its address, specialty, and other relevant details, was last updated on 2019-08-01.