Individual
KATHLEEN JADE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 6TH AVE, 4 SOUTH, DES MOINES, IA 50314-2613
(515) 247-4240
(515) 247-4239
Mailing address
PO BOX 4925, DES MOINES, IA 50305-4925
(515) 247-4240
(515) 247-4239
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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