Organization · Type 2 NPI
Soon Ja Kim MD PA
Adult Medicine Physician · Elkridge, MD
NPI number
1669796710
Active
Practice location
5808 Main St
Elkridge, MD 21075-5105
Fax (410) 379-1537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Another provider at this address
About NPI 1669796710
Soon Ja Kim MD PA's National Provider Identifier is 1669796710, issued on Mar 18, 2010. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Elkridge, MD. The record was last updated on Apr 21, 2010.