Individual
DR. JAMES D KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 46804-4138
(260) 305-2822
(260) 305-2829
Mailing address
7802 W JEFFERSON BLVD STE A, FORT WAYNE, IN 46804-4138
(260) 305-2822
(260) 305-2829
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01083315A
IN
207W00000X
Ophthalmology Physician
62214-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300058132
—
IN
05
—
7100053130
—
KY
Enumeration date
04/16/2010
Last updated
08/05/2022
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