Kim, Jeong

Kim, Jeong is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Kim, Jeong can be contacted via phone (817) 250-4906.

Contact Information

Primary practice address
1301 Pennsylvania Ave Fort Worth TX 76104-2122
Phone: (817) 250-4906
Fax: (817) 250-1815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP127743 Texas
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AP127743 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP127743 Texas

Profile Details

NPI number 1750768107
LBN Legal business name Kim, Jeong
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2015
Last updated Apr 2nd, 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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