Individual
JOEL D. LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(317) 274-1201
(317) 278-9905
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
01056433
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321536
ANTHEM-DEAC-350593390
—
05
—
200427830
—
IN
05
—
207483603
—
MO
01
—
350593390-042
TRICARE-DEAC-350593390
—
05
—
64063696
—
KY
Enumeration date
08/15/2006
Last updated
10/20/2010
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