Individual
DR. MARC JASON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1427 VINE ST, 6TH FL, PHILADELPHIA, PA 19102-1031
(215) 762-6565
(215) 762-6997
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD441258
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102534071
—
PA
Enumeration date
06/24/2008
Last updated
10/10/2024
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