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Jisu Kim
Student in an Organized Health Care Education/Training Program in Shaker Heights, Ohio
NPI 1700505146

Jisu Kim is a Student in an Organized Health Care Education/Training Program based in Shaker Heights, OH. Jisu Kim practices in Shaker Heights, OH. The NPI Number for Jisu Kim is 1700505146 and holds a License No. (Ohio).

The current practice location address for Jisu Kim is 22001 Fairmount Blvd, Shaker Heights, OH and can be reached out via phone at 216-320-8628.

Location: 22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700505146
Provider Name
Jisu Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
22001 Fairmount Blvd, Shaker Heights, OH, 44118-4819
Phone Number
216-320-8628
Fax Number
Provider Enumeration Date
08/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-320-8628
Fax Number
person
Provider Business Mailing Address Details
Address
22001 Fairmount Blvd
City
Shaker Heights
State
Ohio
Zip
44118-4819
Phone Number
216-320-8628
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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