National Provider Identifier
Jin Soo Kim, MD
Jin Soo Kim, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Jamestown, NY and a listed phone number of (716) 664-5712.
Profile Overview
- NPI
- 1831105048
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- July 31, 2006
- Last Updated
- August 20, 2007
Practice Location
- 320 Prather Avenue
- Jamestown, NY 14701-6820
Phone: (716) 664-5712
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1831105048
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Jin
- Middle Name
- Soo
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 320 Prather Avenue
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6820
- Mailing Country
- US
- Mailing Phone
- (716) 664-5712
- Mailing Fax
- (716) 664-4111
- Practice Street Address
- 320 Prather Avenue
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6820
- Practice Country
- US
- Practice Phone
- (716) 664-5712
- Practice Fax
- (716) 664-4111
- Enumeration Date
- July 31, 2006
- Last Updated
- August 20, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 00639336 (NY), 000505500001 (BCBS)