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1851612170 NPI number — JIYOON KIM D.O.

NPI Number: 1851612170
Health Care Provider/Practitioner: JIYOON KIM D.O.

Information about “1851612170” NPI (JIYOON KIM D.O.) exists in 1851612170 in HTML format HTML  |  1851612170 in plain Text format TXT  |  1851612170 in PDF (Portable Document Format) PDF  |  1851612170 in an XML format XML  formats.

NPI Number : 1851612170 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851612170",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "JIYOON",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "WRAMC BLDG 2 RM 2G01",
    "SecondLineMailingAddress": "6900 GEORGIA AVE, NW",
    "MailingAddressCityName": "WASHINGTON",
    "MailingAddressStateName": "DC",
    "MailingAddressPostalCode": "20307-0001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "MEDDAC-K 121 CSH UNIT 15244",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "APO",
    "PracticeLocationAddressStateName": "AP",
    "PracticeLocationAddressPostalCode": "96205",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "101-260-1959",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/22/2010",
    "LastUpdateDate": "08/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "OS019354",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "1025529",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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