Individual
JENNIFER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4 E CLARK BASS BLVD STE 300, MCALESTER, OK 74501-4269
(918) 421-6795
(918) 421-6791
Mailing address
2259 GREEN MEADOWS CIR, MCALESTER, OK 74501-3245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0061R
OK
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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