Individual
JAY H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME78947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224183
AMERIGROUP
FL
01
—
2338521
AETNA
FL
01
—
262898
AVMED
FL
01
—
49742
BCBS
FL
01
—
7524115
AETNA
FL
01
—
8203206
CIGNA
FL
01
—
D10849
VISTA
FL
01
—
N215632
WELLCARE
FL
01
—
P00296874
RAILROAD MEDICARE
FL
Enumeration date
08/15/2005
Last updated
02/10/2019
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