MEDICARE: JULIA KIM RING

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1841758034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA KIM RING

Provider Business Mailing Address
First Line	:	PSC 303 BOX 50
Second Line	:
City	:	APO
State	:	AP
Zip	:	96204-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 GREEN VALLEY DR APT 107
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-6445
Country	:	US
Telephone Number	:	573-823-5621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	03/06/2019

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Directions to “ JULIA KIM RING ” Practice Location

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