# DR. JACOB SUNG SIK KEUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215998737
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 227598 | NY | — |
| 207P00000X | Emergency Medicine Physician | 03623 | KY | — |
| 207P00000X | Emergency Medicine Physician | DO-04697 | IA | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 20A13246 | CA | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 227598 | NY | — |
| 208D00000X | General Practice Physician | 227598 | NY | — |

## Other

- **Enumeration date:** 04/01/2006
- **Last updated:** 06/07/2019