Search › Idaho › 103TC0700X
Jean Kim, PHD
NPI 1205214194 · on the registry since 2015
Practice
- Address
- 500 W. Fort St
Crh, 2nd Floor
Boise, ID 83702 - Phone
- (208) 422-1018
- Organisation at this address
- Vamc
Boise Vamc
Boise Vamc
Boise Va Hospital
Veteran'S Administration Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 685
Additional practice sites
- 3620 Mcclintock Ave, Los Angeles, CA
- 1660 S. Columbian Way, Seattle, WA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
390200000X - Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-01
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 Idaho