JAE KIM, MD PLC – NPI #1306308382
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

JAE KIM, MD PLC is an otolaryngologist located in FAIRFAX, VA. NPPES has assigned the NPI number 1306308382 to JAE KIM, MD PLC on April 01, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 7 years ago on Jun 11, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAE KIM, MD PLC below.

NPI Profile for
JAE KIM, MD PLC

NPI Number
1306308382
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JAE KIM, MD PLC
Primary location
10721 MAIN ST STE 205
FAIRFAX, VA 22030-6902
Phone: (703) 705-2100 Fax: (703) 935-0330
Mailing address
2200 WILSON BLVD STE 102-219
ARLINGTON, VA 22201-3397
Phone: Fax:
Organization Subpart
No
Authorized Official
JAE KIM
AUTHORIZED MEMBER
Phone: (347) 551-1113
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YS0123X
- Otolaryngology / Facial Plastic Surgery (Primary)
261QM2500X
- Clinic/Center / Medical Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.