Individual
KATHLEEN JADE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39105
IA
207R00000X
Internal Medicine Physician
57.011177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1142657
USA MANAGED CARE
IA
01
—
183949
HEALTH ALLIANCE
IA
Enumeration date
04/16/2008
Last updated
02/01/2011
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