Dr. Jacob Sung Sik Keum
Emergency Physician General Practice Physician Neuromusculoskeletal Medicine (NMM) Emergency Medical Services and 2 more
1600 Morgan St
Keokuk
, Iowa 52632-3497
Dr. Jacob Sung Sik Keum
Emergency Physician General Practice Physician Neuromusculoskeletal Medicine (NMM) Emergency Medical Services and 2 more
1600 Morgan St
Keokuk
, Iowa 52632-3497
(530) 846-9075
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Emergency Physician
- Emergency Medical Services
- Family Doctor - Geriatric Medicine
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Jacob Sung Sik Keum
- Po Box 97
- Gridley, CA
- Zip : 95948-0097
- Fax : (530) 846-9075
- Phone : (530) 846-9020
Second Address
- Dr. Jacob Sung Sik Keum
- 1600 Morgan St
- Keokuk, IA
- Zip : 52632-3497
- Fax : (319) 524-5317
- Phone : (319) 524-7150
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 227598 | NY |
| N | 207P00000X | Emergency Physician | 03623 | KY |
| N | 207P00000X | Emergency Physician | DO-04697 | IA |
| Y | 207PE0004X | Emergency Medical Services | 20A13246 | CA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 227598 | NY |
| N | 208D00000X | General Practice Physician | 227598 | NY |
National Provider Identifier
| NPI | 1215998737 |
|---|---|
| Provider Name | Dr. Jacob Sung Sik Keum |
| First Address | Gridley, CA 95948-0097 |
| Second Address | Keokuk, IA 52632-3497 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2006 |
| Last Update Date | 07/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02461874 | (05) | NY |
| I 01454 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.