Kim, Ji Eun

Kim, Ji Eun is an individual health care provider with primary practice located at 1222 E Woodland Ave , Barron WI 54812-1765. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kim, Ji Eun can be contacted via phone (715) 537-3166.

Contact Information

Primary practice address
1222 E Woodland Ave Barron WI 54812-1765
Phone: (715) 537-3166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 13716 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9107704 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA056549 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3934 Wisconsin

Profile Details

NPI number 1386065092
LBN Legal business name Kim, Ji Eun
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2013
Last updated Jun 8th, 2021 - about 5 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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