Kim, Jae Y

Kim, Jae Y is an sole proprietor health care provider with primary practice located at 2200 Wilson Blvd Ste 102-219 , Arlington VA 22201-3397. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Kim, Jae Y can be contacted via phone (347) 551-1113.

Contact Information

Primary practice address
2200 Wilson Blvd Ste 102-219 Arlington VA 22201-3397
Phone: (347) 551-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 0101259733 Virginia
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 0101259733 Virginia

Profile Details

NPI number 1609168327
LBN Legal business name Kim, Jae Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2011
Last updated Nov 15th, 2018 - about 7 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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