Jin Taek Kim is a Surgical in Mill Valley, California. Jin Taek Kim practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jin Taek Kim is 1952447625. The last update date is 2022-02-11.
Jin Taek Kim's current location address is 25 Miwok Way, Mill Valley, California. You can contact this provider via phone number 4153830917. The mailing address for Jin Taek Kim is 25 Miwok Way, Mill Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jin Taek Kim |
|---|---|
| Address | 25 Miwok Way, Mill Valley, California |
| Phone Number | 4153830917 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | JIN KIM PA |
NPI Number Detail
| NPI Number | 1952447625 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 25 Miwok Way |
|---|---|
| City | Mill Valley |
| State | California (CA) |
| Post Code | 949412593 |
| Phone Number | 4153830917 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA18112 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the unique 10-digit identification code assigned to Jin Taek Kim by the Centers for Medicare & Medicaid Services?
The Jin Taek Kim has been issued the NPI (National Provider Identifier) 1952447625, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jin Taek Kim located?
The Jin Taek Kim is located at 25 Miwok Way, Mill Valley, CA 949412593.
What is Jin Taek Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jin Taek Kim is Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
When was the Jin Taek Kim's 1952447625 issued?
The Jin Taek Kim's 1952447625 was issued on 2007-01-30.
As of what date were the details pertaining to Jin Taek Kim last refreshed?
The information related to the Jin Taek Kim, including its address, specialty, and other relevant details, was last updated on 2022-02-11.