Dean, Jacqueline Kim

Dean, Jacqueline Kim is an individual health care provider with primary practice located at 1617 University Blvd Ne , Albuquerque NM 87102-1710. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Dean, Jacqueline Kim can be contacted via phone (505) 341-4841.

Contact Information

Primary practice address
1617 University Blvd Ne Albuquerque NM 87102-1710
Fax: (505) 345-9914
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2001-170 New Mexico

Profile Details

NPI number 1184690364
LBN Legal business name Dean, Jacqueline Kim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated May 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184690364 NPPES
New Mexico MEDICAID 12737011

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