Dr. Jennifer Kim
Foot & Ankle Surgery
1425 S Main St
Walnut Creek
, California 94596-5318
Dr. Jennifer Kim
Foot & Ankle Surgery
1425 S Main St
Walnut Creek
, California 94596-5318
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Jennifer Kim
- 231 Market Pl # 264
- San Ramon, CA
- Zip : 94583-4743
- Phone :
Second Address
- Dr. Jennifer Kim
- 1425 S Main St
- Walnut Creek, CA
- Zip : 94596-5318
- Phone : (925) 295-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | E4012 | CA |
National Provider Identifier
| NPI | 1023152345 |
|---|---|
| Provider Name | Dr. Jennifer Kim |
| First Address | San Ramon, CA 94583-4743 |
| Second Address | Walnut Creek, CA 94596-5318 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/02/2007 |
| Last Update Date | 18/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000E40120 | (05) | CA |
| 000E40121 | (05) | CA |
| U65998 | (02) | CA |
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.