Jae Suk Kim is a Pediatrics in St Clair Shores, Michigan. Jae Suk Kim practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jae Suk Kim is 1790899755. The last update date is 2007-07-08.
Jae Suk Kim's current location address is 24025 Greater Mack, St Clair Shores, Michigan. You can contact this provider via phone number 5867778280 and fax number 5867778688. The mailing address for Jae Suk Kim is 24025 Greater Mack, St Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Suk Kim |
|---|---|
| Address | 24025 Greater Mack, St Clair Shores, Michigan |
| Phone Number | 5867778280 |
| Fax Number | 5867778688 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790899755 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24025 Greater Mack |
|---|---|
| City | St Clair Shores |
| State | Michigan (MI) |
| Post Code | 48080 |
| Phone Number | 5867778280 |
| Fax Number | 5867778688 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301033045 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1947637 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jae Suk Kim by the Centers for Medicare & Medicaid Services?
The Jae Suk Kim has been issued the NPI (National Provider Identifier) 1790899755, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jae Suk Kim is geographically located?
The Jae Suk Kim is physically situated at the following location: 24025 Greater Mack, St Clair Shores, MI, 48080.
What is Jae Suk Kim's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jae Suk Kim's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790899755 to Jae Suk Kim?
The Jae Suk Kim received its 1790899755 assignment from the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information related to Jae Suk Kim most recently updated or refreshed?
The details pertaining to the Jae Suk Kim, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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