Individual
JI HWAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
(801) 714-3420
Mailing address
505 W 400 N, OREM, UT 84057-1950
(801) 714-3450
(801) 714-3420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9845802-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2013
Last updated
09/30/2021
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