Individual
DR. JAE HO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5906 BARDSTOWN RD, LOUISVILLE, KY 40291-1935
(857) 919-4334
Mailing address
289 IRELAND AVE, ORAL SURGERY, HOSPITAL DENTAL CLINIC, FORT KNOX, KY 40121-5111
(857) 919-4334
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9554
KY
Other
Enumeration date
09/27/2010
Last updated
11/19/2015
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