| Doctor Name: | DR. JAE JIN KIM |
| NPI Number: | 1477742062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., PH.D. |
| License Number: | 019395 |
| Business Practice Address: | 889 Bridgeport Ave Milford Walk-in Medical Care Center Milford, CT - 064603139 |
| Business Phone Number: | 2037839899 |
| Business Fax Number: | 2038779538 |
| Mailing Address: | 889 Bridgeport Ave, Milford Walk-in Medical Care Center MILFORD |
| State: | CT |
| Postal Code: | 064603139 |
| Phone Number: | 2037839899 |
| Fax Number: | 2038779538 |
| NPI Enumeration Date: | 10/18/2007 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 019395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |