Individual
DR. JAE CHUL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5031 VILLA LINDE PKWY, STE 20, FLINT, MI 48532-3448
(810) 732-2975
(810) 732-0116
Mailing address
5031 VILLA LINDE PKWY, STE 20, FLINT, MI 48532-3448
(810) 732-2975
(810) 732-0116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
JK040509
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579441
—
MI
Enumeration date
07/18/2005
Last updated
04/16/2008
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