Kim, Jae Y
Kim, Jae Y is an sole proprietor health care provider with primary practice located at 2200 Wilson Blvd Ste 102-219 , Arlington VA 22201-3397. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Kim, Jae Y can be contacted via phone (347) 551-1113.Contact Information
Primary practice address
2200 Wilson Blvd Ste 102-219
Arlington VA 22201-3397
Phone: (347) 551-1113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 0101259733 | Virginia |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 0101259733 | Virginia |
Profile Details
| NPI number | 1609168327 |
|---|---|
| LBN Legal business name | Kim, Jae Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2011 |
| Last updated | Nov 15th, 2018 - about 8 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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