Individual
DR. JENNY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1650 ORLEANS ST, CRB 1 RM 443, BALTIMORE, MD 21287-0013
(410) 614-3977
(410) 614-8160
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
57.014085
OH
207RH0003X
Hematology & Oncology Physician
Primary
D70993
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036806700
—
MD
Enumeration date
05/02/2008
Last updated
01/05/2013
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