Individual
JEAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
(808) 586-2808
Mailing address
1356 LUSITANA ST FL 7, HONOLULU, HI 96813-2409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR-7735
HI
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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