Kim, January J
Kim, January J is an sole proprietor health care provider with primary practice located at 1441 29Th St Ste 305 , West Des Moines IA 50266-1309. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Kim, January J can be contacted via phone (515) 985-2024.Contact Information
Primary practice address
1441 29Th St Ste 305
West Des Moines IA 50266-1309
Phone: (515) 985-2024
Fax: (515) 985-2025
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 083414 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | T083414 | Iowa |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | T083414 | Iowa |
Profile Details
NPI number | 1609845759 |
---|---|
LBN Legal business name | Kim, January J |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 14th, 2006 |
Last updated | Jun 24th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609845759 | NPPES |
Iowa | Other | IA0132 | JOHN DEERE HC |
Iowa | Other | 43845 | JOHN DEERE HC |
Iowa | MEDICAID | 1045898 | JOHN DEERE HC |
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