Organization
JAE J. KIM, M.D.
Active
Other names
Shafter Rural Health Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE WILLIAMSON (OFFICE SUPERVISOR)
(661) 746-4937
Entity
Organization
Contact information
Practice address
565 KERN ST, SHAFTER, CA 93263-2133
(661) 746-4937
Mailing address
565 KERN ST, SHAFTER, CA 93263-2133
(661) 746-4937
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A38875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53819F
—
CA
Enumeration date
12/14/2007
Last updated
06/27/2008
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