Kim, Jae Hong

Kim, Jae Hong is an individual health care provider with primary practice located at 3333 Burnet Avenue Mlc 7009, Cincinnati OH 45229-3026. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Kim, Jae Hong can be contacted via phone (513) 636-4830.

Contact Information

Primary practice address
3333 Burnet Avenue Mlc 7009 Cincinnati OH 45229-3026
Phone: (513) 636-4830
Fax: (513) 636-7868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C52431 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X C52431 California
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X C52431 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35.136969 Ohio

Profile Details

NPI number 1639242977
LBN Legal business name Kim, Jae Hong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jun 1st, 2021 - about 3 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 1639242977 NPPES
California MEDICAID 00C524310

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