Individual
JUN OH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4002 KRESGE WAY, SUITE 124, LOUISVILLE, KY 40207-4661
(502) 895-4263
(502) 899-5488
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37046
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350555
ANTHEM - NMA
—
01
—
009893
SIHO - NMA
—
01
—
1165019
PASSPORT - NMA
—
01
—
1193586
CHA / NMA
—
01
—
2439903000
PAD - NMA
—
05
—
64047855
—
KY
01
—
9332831006
CIGNA / NMA
—
01
—
P00180631
RRMCR - NMA
KY
Enumeration date
04/18/2006
Last updated
12/07/2020
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