Kim, Hyon Jeong

Kim, Hyon Jeong is an individual health care provider with primary practice located at 3402 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6214. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Kim, Hyon Jeong can be contacted via phone (813) 875-3950.

Contact Information

Primary practice address
3402 W Dr Martin Luther King Jr Blvd Tampa FL 33607-6214
Phone: (813) 875-3950
Fax: (813) 872-2741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME143884 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME143884 Florida

Profile Details

NPI number 1316109994
LBN Legal business name Kim, Hyon Jeong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2008
Last updated Aug 9th, 2022 - about 2 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 1316109994 NPPES
Florida MEDICAID 105929300

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