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Individual
DR. JEFFREY DAVID KIM
Active
Individual
DR. JEFFREY DAVID KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5029
AK
207Q00000X
Family Medicine Physician
Primary
C161734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD45685
—
AK
Enumeration date
03/20/2007
Last updated
09/21/2023
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