Individual
JAI EUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 SUM MOR DR, WEST COLUMBIA, SC 29169-4828
(803) 254-4699
Mailing address
103 SUM MOR DR, WEST COLUMBIA, SC 29169-4828
(803) 254-4699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30777
SC
Other
Enumeration date
02/17/2025
Last updated
10/12/2025
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