Individual
MISS JAE HYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1918 COLISEUM BLVD, GREENSBORO, NC 27403-3211
(336) 294-7923
(336) 294-3961
Mailing address
1918 COLISEUM BLVD, GREENSBORO, NC 27403-3211
(336) 294-7923
(336) 294-3961
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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