Individual
JAY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2775 MOSSIDE BLVD, MONROEVILLE, PA 15146-2760
(412) 357-3000
Mailing address
2775 MOSSIDE BLVD, MONROEVILLE, PA 15146-2760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS020506
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT018036
PA
Other
Enumeration date
06/05/2017
Last updated
03/11/2022
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