Kim, Jai Eun

Kim, Jai Eun is an individual health care provider with primary practice located at 103 Sum Mor Dr , West Columbia SC 29169-4828. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kim, Jai Eun can be contacted via phone (803) 254-4699.

Contact Information

Primary practice address
103 Sum Mor Dr West Columbia SC 29169-4828
Phone: (803) 254-4699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 30777 South Carolina

Profile Details

NPI number 1609671486
LBN Legal business name Kim, Jai Eun
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2025
Last updated Oct 2nd, 2026 - about 13.909421296296 days 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 1609671486 NPPES
Other 16628832 CAQH

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