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General NPI Number Information
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NPI Number | 1285686154
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Entity Type | Individual
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Provider Name | KYU KIM JANA MD
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 400 HARBORSIDE DR STE 104
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City | GALVESTON
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State | TX
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Zip | 77555-0001
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Country | US
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Telephone | 409-772-2166
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Fax | 409-772-2663
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Provider Business Mailing Address
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Address Line | 301 UNIVERSITY BLVD
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City | GALVESTON
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State | TX
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Zip | 77555-1250
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Country | US
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Telephone | 409-744-4030
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Fax | 409-740-4187
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N8934
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 227412
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ME99852
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License Number State | FL
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