| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KENNETH JIA EN LIM | 1316280381 | 2023-01-21 |
Kenneth Jia En Lim [M] graduated in 2008 and primarily specializes in Nephrology.
Kenneth Jia En Lim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316280381. Registration indicates Kenneth Jia En Lim is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians) (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine: Nephrology, ) (Specialist Network, ) (Internal Medicine Nephrology, Allopathic & Osteopathic Physicians) (Internal Medicine, )
| PECOS ID | 1052555182 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Kenneth Jia En Lim M.D., PH.D. |
| Practice Office Address | 550 UNIVERSITY BLVD INDIANAPOLIS, IN US |
| Practice Office Telephone | 3179445000 |
| Mailing Address | 250 N SHADELAND AVE INDIANAPOLIS, IN 462194959 US |
| Business Telephone | 3179623834 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 85 Herrick St | Beverly, MA 019151790 | 9789223000 3059 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 01083337A
IN |
| 207RN0300X PRIMARY | Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine: Nephrology Specialist Network Internal Medicine Nephrology Allopathic & Osteopathic Physicians Internal Medicine | 01083337A
IN |