Individual
MR. JAY H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 FRASIER ST, DURHAM, NC 27704-2125
(919) 477-7003
(919) 471-2827
Mailing address
205 FRASIER ST, DURHAM, NC 27704-2125
(919) 477-7003
(919) 471-2827
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
93 00185
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48954
BCBS
NC
05
—
8948954
—
NC
Enumeration date
08/09/2005
Last updated
03/07/2014
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