Jae Kim, M.d.

  • 1710928627 NPI Number
  • |
  • Actived: 17 years ago
  • |
Jae Kim, M.d. is a health care provider based in Canton, IL. The NPI Number is 1710928627 and it has been active since 17 years ago. The specialty is Anesthesiology, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Anesthesiology services, Jae Kim, M.d. is an excellent option. We are here to help you get the care you need.

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Overview of Jae Kim, M.d.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 06/10/2006
  • Last updated: 05/01/2015

Primary Scrop of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 036056328
  • License State: IL

Provider Mailing Address

  • Address: 7309 N Knoxville Ave
    Suite 200
    Peoria, IL 61614
  • Phone: 309-691-6225
  • Fax: 309-691-7635

Provider Practice Location

  • Address: 210 W Walnut St
    Canton, IL 61520
  • Phone: 309-647-5240
  • Fax: 309-647-5104

Authorized Official

  • Name: Jae K Kim M.D.
  • Position/Title: Owner
  • Telephone Number: 309-671-8749

Scope of Practice

  • Taxonomy Code: 207L00000X
  • Specialty: Anesthesiology
  • License Number: 036056328
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 036056328
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jae Kim, M.d.?
  • A: The npi number for Jae Kim, M.d. is 1710928627.
  • Q: What are Jae Kim, M.d.'s specialties?
  • A: Jae Kim, M.d.'s specialties are Anesthesiology and different specialities.
  • Q: Where is Jae Kim, M.d. business practice location?
  • A: Jae Kim, M.d. business practice location is 210 W Walnut St, Canton, IL 61520.
  • Q: How to contact Jae Kim, M.d.?
  • A: You can contact Jae Kim, M.d. via 309-647-5240.
  • Q: What is the authorized official for Jae Kim, M.d.?
  • A: The authorized office name is Jae K Kim M.D. with position/title is Owner and you can reach the authorized official via phone number 3096718749.
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