Kim, Jay J

Kim, Jay J is an individual health care provider with primary practice located at 730 W Market St Ste 2K , Lima OH 45801-4602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kim, Jay J can be contacted via phone (419) 996-4011.

Contact Information

Primary practice address
730 W Market St Ste 2K Lima OH 45801-4602
Phone: (419) 996-4011
Fax: (419) 996-4012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 18287 West Virginia

Profile Details

NPI number 1821077553
LBN Legal business name Kim, Jay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Nov 5th, 2020 - about 5 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 1821077553 NPPES
Ohio Other 2493789 OH MEDICAID MOLINA
Ohio Other 000000433626 OH MEDICAID MOLINA
Ohio Other 310917085258 OH MEDICAID MOLINA
Ohio MEDICAID 0129081000 OH MEDICAID MOLINA
Ohio MEDICAID 2493789 OH MEDICAID MOLINA

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