| Jae C Kim, MD, PC | |
|
5031 Villa Linde Pkw Flint MI 48532-3446 | |
| (810) 732-2976 | |
| (810) 732-0116 |
| Full Name | Jae C Kim, MD, PC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5031 Villa Linde Pkw, Flint, Michigan |
| Authorized Official Name and Position | Jae Chul Kim (MD) |
| Authorized Official Contact | 8107322975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jae C Kim, MD, PC 5031 Villa Linde Pkw Flint MI 48532-3446 Ph: (810) 732-2976 | Jae C Kim, MD, PC 5031 Villa Linde Pkw Flint MI 48532-3446 Ph: (810) 732-2976 |
| NPI Number | 1861666166 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 10/08/2014 |
| Medicare PECOS PAC ID | 9931270162 |
|---|---|
| Medicare Enrollment ID | O20080616000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861666166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Jae C Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295734762 PECOS PAC ID: 2769553999 Enrollment ID: I20080616000773 |
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