Kim, Jason

Kim, Jason is an individual health care provider with primary practice located at 1825 Marika Rd , Fairbanks AK 99709-5521. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Day Training/Habilitation Specialist, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Kim, Jason can be contacted via phone (907) 474-0890.

Contact Information

Primary practice address
1825 Marika Rd Fairbanks AK 99709-5521
Phone: (907) 474-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1659900942
LBN Legal business name Kim, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2020
Last updated Mar 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659900942 NPPES
Alaska Other N.A N.A

Popular Providers