Kim, Paul Jeong

Kim, Paul Jeong is an individual health care provider with primary practice located at 1801 Inwood Road , Dallas TX 75390-2113. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kim, Paul Jeong can be contacted via phone (214) 645-3101.

Contact Information

Primary practice address
1801 Inwood Road Dallas TX 75390-2113
Phone: (214) 645-3101
Fax: (214) 645-3105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2359 Texas
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0636 Arizona

Profile Details

NPI number 1013971027
LBN Legal business name Kim, Paul Jeong
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Apr 8th, 2019 - 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 1013971027 NPPES
Arizona MEDICAID 952699

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