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Individual
JEONG H KIM
Active
Individual
JEONG H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
54642
WI
207RG0100X
Gastroenterology Physician
AFE73901
CA
207RG0100X
Gastroenterology Physician
Primary
MD-16105
HI
207RG0100X
Gastroenterology Physician
MD00047928
WA
Other
Enumeration date
08/08/2006
Last updated
03/07/2023
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