Organization
SJK GERIATRICS AND PALLIATIVE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE J KIM MD (PRESIDENT)
(414) 247-9005
Entity
Organization
Contact information
Practice address
7380 S CAMBRIDGE DR, FRANKLIN, WI 53132-1975
(414) 529-5707
(414) 425-0509
Mailing address
PO BOX 639, THIENSVILLE, WI 53092-0639
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39845-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220987055005
BCBS RENDERING ID
—
05
—
32494100
—
WI
Enumeration date
05/16/2007
Last updated
09/13/2019
Update your record
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