Jongyeol Kim in Lubbock - Clinical Neurophysiology
Jongyeol Kim - NPI 1306822242
Jongyeol Kim is a Clinical Neurophysiology in Lubbock, Texas. Jongyeol Kim practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Jongyeol Kim is 1306822242. The last update date is 2021-04-15.
Jongyeol Kim's current location address is 3601 4th St # Ms 8321, Lubbock, Texas. You can contact this provider via phone number 8067434999. The mailing address for Jongyeol Kim is 3601 4th St # Ms 8321, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jongyeol Kim |
|---|---|
| Address | 3601 4th St # Ms 8321, Lubbock, Texas |
| Phone Number | 8067434999 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306822242 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2021-04-15 |
Provider Mailing Address Detail
| Address | 3601 4th St # Ms 8321 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794300002 |
| Phone Number | 8067434999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | 28369 |
|
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5902240 | NC | -- | |
| Q0142A | SC | -- | |
| 3810003890 | WV | -- | |
| 182868 | NC | MEDCOST | |
| 7046747 | AETNA | ||
| 10208416 | VA | -- | |
| 140KX | NC | BCBS | |
| 806577 | NC | PARTNERS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jongyeol Kim?
The Jongyeol Kim has been issued the NPI (National Provider Identifier) 1306822242 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 Jongyeol Kim's facilities are geographically located?
The facilities of Jongyeol Kim are physically situated at the following location: 3601 4Th St # Ms 8321, Lubbock, TX, 794300002.
What is Jongyeol Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jongyeol Kim is Clinical Neurophysiology, and the corresponding taxonomy classification code for this specialized field is 2084N0600X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306822242 to Jongyeol Kim?
The Centers for Medicare & Medicaid Services assigned the 1306822242 to Jongyeol Kim on 2005-12-22.
When was the information pertaining to Jongyeol Kim most recently updated or revised?
The details related to Jongyeol Kim, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-15.