| Doctor Name: | DR. JENNIFER KIM |
| NPI Number: | 1023152345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | E4012 |
| Business Practice Address: | 1425 S Main St Walnut Creek, CA - 945965318 |
| Business Phone Number: | 9252954000 |
| Business Fax Number: | |
| Mailing Address: | 231 Market Pl # 264, SAN RAMON |
| State: | CA |
| Postal Code: | 945834743 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 03/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |