Kim, Jennifer

Kim, Jennifer is an sole proprietor health care provider with primary practice located at 593 Eddy Street Main Bldg Rm 038 , Providence RI 02903. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Ambulatory Health Care Facilities / Student Health. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Kim, Jennifer can be contacted via phone (401) 444-4779.

Contact Information

Primary practice address
593 Eddy Street Main Bldg Rm 038 Providence RI 02903
Phone: (401) 444-4779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD18556 Rhode Island
Ambulatory Health Care Facilities / Student Health 261QS1000X

Profile Details

NPI number 1700375870
LBN Legal business name Kim, Jennifer
Credentials MD, JD, MHA
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2018
Last updated Sep 11th, 2023 - about 2 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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