Individual
JENNIFER MICHELE LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
332 CONGRESS PARK DR, KETTERING, OH 45459-4133
(800) 726-3627
Mailing address
8501 GURNEY CT, CENTERVILLE, OH 45458-2678
(937) 546-9578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.094010
OH
390200000X
Student in an Organized Health Care Education/Training Program
57-013149
OH
Other
Enumeration date
08/29/2007
Last updated
04/15/2013
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