Individual
DR. JASON S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12724 SAGAMORE RD, LEAWOOD, KS 66209
(858) 220-2615
Mailing address
12724 SAGAMORE RD, LEAWOOD, KS 66209
(858) 220-2615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.020110
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PST.020110
LA BOARD OF PHARMACY
LA
Enumeration date
08/03/2005
Last updated
03/02/2017
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