Individual
JEREMY KIM
Active
Individual
JEREMY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A168403
CA
207R00000X
Internal Medicine Physician
MD192629
OR
207RP1001X
Pulmonary Disease Physician
036164481
IL
207RP1001X
Pulmonary Disease Physician
Primary
A168403
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
09/04/2024
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