Kim, Jason

Kim, Jason is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - Infectious Diseases, Philadelphia PA 19104-4319. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Kim, Jason can be contacted via phone (215) 590-2017.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - Infectious Diseases Philadelphia PA 19104-4319
Phone: (215) 590-2017
Fax: (215) 590-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD419002 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD419002 Pennsylvania

Profile Details

NPI number 1386667319
LBN Legal business name Kim, Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 19th, 2013 - about 13 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 1386667319 NPPES
New Jersey MEDICAID 0047287
New Jersey MEDICAID 101118367

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