Kim, Jean H

Kim, Jean H is an individual health care provider with primary practice located at 7905 Calument Ave , Munster IN 46321-2549. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Kim, Jean H can be contacted via phone (219) 836-5800.

Contact Information

Primary practice address
7905 Calument Ave Munster IN 46321-2549
Phone: (219) 836-5800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 01067696A Indiana

Profile Details

NPI number 1780691170
LBN Legal business name Kim, Jean H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Feb 27th, 2019 - 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 1780691170 NPPES
Indiana MEDICAID 200979530

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