Lee, Jin Kim

Lee, Jin Kim is an individual health care provider with primary practice located at 11501 Page Service Dr , Saint Louis MO 63146-3530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, which is considered as her primary health care specialty. Lee, Jin Kim can be contacted via phone (314) 993-3014.

Contact Information

Primary practice address
11501 Page Service Dr Saint Louis MO 63146-3530
Phone: (314) 993-3014
Fax: (314) 993-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Occupational Health 363LX0106X 2022040714 Missouri

Profile Details

NPI number 1821700592
LBN Legal business name Lee, Jin Kim
Credentials A-GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2022
Last updated Jan 16th, 2024 - about last year

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 1821700592 NPPES
Missouri Other 2007026654 RN LICENSE NUMBER
Missouri Other 2022040714 RN LICENSE NUMBER

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