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NPI Code Detail

MEDICARE: DR. EUNICE HOPE JIMI KIM

MEDICARE:  DR. EUNICE HOPE JIMI KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835I0206XInfectious Diseases Pharmacist26031067AIN

General Provider Information

NPI Number : 1356166177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUNICE HOPE JIMI KIM
Provider Business Mailing Address
First Line : 7250 CLEARVISTA DR STE 260
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-4686
Country : US
Telephone Number : 317-621-1672
Fax Number :
Provider Business Practice Location Address
First Line : 7250 CLEARVISTA DR
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46256-4692
Country : US
Telephone Number : 321-762-1167
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 11/18/2024

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Directions to “ DR. EUNICE HOPE JIMI KIM ” Practice Location

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