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Dr. Jeeho Damian Kim, MD
Military Health Care Provider in Jb Andrews, Maryland
NPI 1316409667

Jeeho Damian Kim is a Military Health Care Provider based in Jb Andrews, MD. Jeeho Damian Kim practices in Jb Andrews, MD and has the professional credentials of MD. The NPI Number for Jeeho Damian Kim is 1316409667 and holds a License No. 0101270560 (Maryland).

The current practice location address for Jeeho Damian Kim is 1 San Diego Loop Bldg 3282, Jb Andrews, MD and can be reached out via phone at 240-303-2050.

Location: 1 San Diego Loop Bldg 3282, Jb Andrews, MD, 20762-5518
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316409667
Provider Name
Jeeho Damian Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 San Diego Loop Bldg 3282, Jb Andrews, MD, 20762-5518
Phone Number
240-303-2050
Fax Number
Provider Enumeration Date
04/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 San Diego Loop Bldg 3282
City
Jb Andrews
State
Maryland
Zip
20762-5518
Phone Number
240-303-2050
Fax Number
person
Provider Business Mailing Address Details
Address
1 San Diego Loop Bldg 3282
City
Jb Andrews
State
Maryland
Zip
20762-5518
Phone Number
240-303-2050
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0101270560 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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