SearchMaryland163WG0000X

Jae Kim

NPI 1699510735 · on the registry since 2024 · sole proprietor

Practice

Address
655 W Lombard St
Baltimore, MD 21201
Phone
(410) 706-0501
Clinicians at this address
86

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-06-29

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 Maryland