Jong Ryul Kim

NPI 1982008959 · on the registry since 2014 · sole proprietor

Practice

Address: 3223 N Broad St
Philadelphia, PA 19140
Phone: (215) 707-2900
Organisation at this address: Temple University
Northeast Orthotics Inc.
Temple University Dental School
Temple Faculty Practice Plan, Inc
Greater Philadelphia Health Action Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 134

Registry record

Primary taxonomy: Endodontics
1223E0200X
Also registered as: Endodontics
Licence states on file: VA, PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-12-19

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 Pennsylvania