Individual
DR. JONATHAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1049 TAFT ST, ROCKVILLE, MD 20850-1309
(240) 515-4775
Mailing address
14112 JAEGER RD, CLARKSBURG, MD 20871-9534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28575
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28575
STATE BOARD OF PHYSICAL THERAPY
MD
Enumeration date
08/26/2021
Last updated
08/26/2021
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