Individual provider · Type 1 NPI
Jung S. Kim, MD
Clinic/Center · St. Louis, MO
NPI number
1689798472
Active
Practice location
2821 N Ballas Rd, C-30
St. Louis, MO 63131-2321
Mailing address
802 Bluespring Ln
St. Louis, MO 63131-2614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | R7E16 (MO) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1689798472
Jung S. Kim, MD's National Provider Identifier is 1689798472, issued on Mar 19, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.