Individual
DR. JAEKEUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FACS
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-0261
Mailing address
101 MONMOUTH ST APT 414, BROOKLINE, MA 02446-5612
(617) 935-3261
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
283842
MA
204F00000X
Transplant Surgery Physician
Primary
35.145723
OH
390200000X
Student in an Organized Health Care Education/Training Program
273758
MA
Other
Enumeration date
12/11/2017
Last updated
09/29/2022
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