Search › Michigan › 207RN0300X
Jae Kim, DO
NPI 1164981965 · on the registry since 2019
Practice
- Address
- 3535 W 13 Mile Rd Ste 247
Royal Oak, MI 48073 - Phone
- (248) 551-4149
- Fax
- (248) 551-4150
- Organisation at this address
- Steven Cohn Md
John Kitzmiller
Max T. Walsh Md,Pc
Mark Frikker Md Plc
Anthony Iacco Md PlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 313
Additional practice sites
- 325 9th Ave, Seattle, WA
- 1660 S Columbian Way, Seattle, WA
- 455 Toll Gate Rd, Warwick, RI
- 1959 Ne Pacific St, Seattle, WA
- 2624 11 Mile Rd, Berkley, MI
Registry record
- Primary taxonomy
- 207RN0300X
207RN0300X
- Also registered as
- 207R00000X
207RN0300X
390200000X - Licence states on file
- RI, WA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan