Kim, Jenny Christine

Kim, Jenny Christine is an individual health care provider with primary practice located at 484 Irvin Ct Ste 140, Decatur GA 30030-5406. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Kim, Jenny Christine can be contacted via phone (404) 297-4230.

Contact Information

Primary practice address
484 Irvin Ct Ste 140 Decatur GA 30030-5406
Phone: (404) 297-4230
Fax: (404) 297-4252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207YS0012X 054440 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 054440 Georgia

Profile Details

NPI number 1275531907
LBN Legal business name Kim, Jenny Christine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 11th, 2019 - about 6 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 1275531907 NPPES
Georgia MEDICAID 862450770C
Georgia MEDICAID 862450770W
Georgia MEDICAID 862450770B
Georgia MEDICAID 862450770U
Georgia MEDICAID 862450770A
Georgia MEDICAID 862450770D

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