Active NPIIndividual providerSole proprietor

Mrs. Jea A Kim, RN

Registered Nurse in Pelham, New York

NPI Number1386119378
Practice location
17 Fifth Ave Apt 63, Pelham, NY 10803-1561
Fax
—
Last updated
October 5, 2018

Jea A. Kim is a Registered Nurse based in Pelham, NY. Jea A. Kim practices in Pelham, NY and has the professional credentials of RN. The NPI Number for Jea A. Kim is 1386119378 and holds a License No. 540472 (NY). The current practice location address for Jea A. Kim is 17 Fifth Ave Apt 63, Pelham, NY 10803-1561 and can be reached out via phone at 917-519-3794.

Provider Profile Details

NPI Number
1386119378
Provider Name
Jea A. Kim
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
17 Fifth Ave Apt 63, Pelham, NY 10803-1561
Phone Number
917-519-3794
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 5, 2018
Last Update Date
October 5, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Fifth Ave Apt 63
Pelham, NY 10803-1561
City
Pelham
Zip
10803-1561
Phone Number
917-519-3794
Pelham, NY 10803Get directions →

Provider Business Mailing Address Details

Address
17 Fifth Ave Apt 63
Pelham, NY 10803-1561
City
Pelham
State
NY
Zip
10803-1561

License Information

License Number
540472
License State
NY
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jea A Kim, RN?

The NPI number of Mrs. Jea A Kim, RN is 1386119378. It was assigned on October 5, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jea A Kim, RN?

Mrs. Jea A Kim, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 540472.

Where does Mrs. Jea A Kim, RN practice?

The practice location is 17 Fifth Ave Apt 63, Pelham, NY 10803-1561. The office can be reached at 917-519-3794 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386119378 directly on the NPPES registry website.

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