| Doctor Name: | DR. SAMUEL JOHN KJOME |
| NPI Number: | 1336110600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10065 |
| Business Practice Address: | 48 Medical Group / Sgop Unit 5210 Box 230 Apo, AE - 09461 |
| Business Phone Number: | 441638528010 |
| Business Fax Number: | |
| Mailing Address: | 48 Medical Group / Sgop Unit 5210, Box 230 APO |
| State: | AE |
| Postal Code: | 09461 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2006 |
| NPI Last Update Date: | 08/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |