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Individual

JIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17TH & CHEW ST, ALLENTOWN, PA 18102
(610) 402-9080
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9080
(610) 402-9029

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD033318L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000110351
THREE RIVERS
PA
05
0006220470002
PA
01
0040561000
INDEP. BLUE CROSS
PA
01
00622047
GATEWAY
PA
01
0095712
KHP CENTRAL
PA
01
095712
HIGHMARK
PA
01
1010374
KEYSTONE MERCY
PA
Enumeration date
10/18/2005
Last updated
12/06/2007
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