Kim, Jay H

Kim, Jay H is an sole proprietor health care provider with primary practice located at 205 Frasier St , Durham NC 27704-2125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kim, Jay H can be contacted via phone (919) 477-7003.

Contact Information

Primary practice address
205 Frasier St Durham NC 27704-2125
Fax: (919) 471-2827
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 93 00185 North Carolina

Profile Details

NPI number 1750382909
LBN Legal business name Kim, Jay H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Mar 7th, 2014 - about 11 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 1750382909 NPPES
North Carolina Other 48954 BCBS
North Carolina MEDICAID 8948954 BCBS

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