Jisu Kim

NPI #1700505146 in Shaker Heights, Ohio

Provider Information

NPI Number: 1700505146
Entity Type: Individual
Name: Jisu Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 26, 2022
Last Updated: Aug 26, 2022

Practice Location

Address: 22001 FAIRMOUNT BLVD
City: Shaker Heights
State: Ohio
ZIP Code: 44118-4819
Phone: (216) 320-8628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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