Kim, Jamey
Kim, Jamey is an sole proprietor health care provider with primary practice located at 1500 Route 112 Bldg 4 , Port Jefferson Station NY 11776-8055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kim, Jamey can be contacted via phone (631) 751-3000.Contact Information
Primary practice address
1500 Route 112 Bldg 4
Port Jefferson Station NY 11776-8055
Phone: (631) 751-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 347359 | New York |
Profile Details
| NPI number | 1235706672 |
|---|---|
| LBN Legal business name | Kim, Jamey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2021 |
| Last updated | Jun 4th, 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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