| Hei-jung C Kim M.d. L.l.c. | |
|
14804 Physicians Ln Ste 122 Rockville MD 20850-3912 | |
| (301) 424-7700 | |
| (301) 424-0305 |
| Full Name | Hei-jung C Kim M.d. L.l.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14804 Physicians Ln Ste 122, Rockville, Maryland |
| Authorized Official Name and Position | Hei-jung C Kim (DIRECTOR/ OWNER) |
| Authorized Official Contact | 3014247700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hei-jung C Kim M.d. L.l.c. 14804 Physicians Ln Ste 122 Rockville MD 20850-3912 Ph: (301) 424-7700 | Hei-jung C Kim M.d. L.l.c. 14804 Physicians Ln Ste 122 Rockville MD 20850-3912 Ph: (301) 424-7700 |
| NPI Number | 1912250580 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912250580 | NPI | - | NPPES |
| 404107100 | Medicaid | MD | |
| 483700200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11220 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 09979 (Maryland) | Secondary |
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