| Doctor Name: | MR. JIMMY KIM |
| NPI Number: | 1043233588 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | JAMES KIM |
| License Number: | 40QA00840500 |
| Business Practice Address: | 300 Winston Dr Apt 217 Cliffside Park, NJ - 070103210 |
| Business Phone Number: | 2016931531 |
| Business Fax Number: | 2019692752 |
| Mailing Address: | 300 Winston Dr Apt 217, CLIFFSIDE PARK |
| State: | NJ |
| Postal Code: | 070103210 |
| Phone Number: | 2016931531 |
| Fax Number: | 2019692752 |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 40QA00840500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |