Kim, January J

Kim, January J is an sole proprietor health care provider with primary practice located at 1441 29Th St Ste 305 , West Des Moines IA 50266-1309. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Kim, January J can be contacted via phone (515) 985-2024.

Contact Information

Primary practice address
1441 29Th St Ste 305 West Des Moines IA 50266-1309
Phone: (515) 985-2024
Fax: (515) 985-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 083414 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X T083414 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X T083414 Iowa

Profile Details

NPI number 1609845759
LBN Legal business name Kim, January J
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jun 24th, 2020 - 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 1609845759 NPPES
Iowa Other IA0132 JOHN DEERE HC
Iowa Other 43845 JOHN DEERE HC
Iowa MEDICAID 1045898 JOHN DEERE HC

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