| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JESSICA LAUREN KIM | 1679157382 | 2021-05-09 |
Jessica Lauren Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679157382. Registration indicates Jessica Lauren Kim is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Dr. Jessica Lauren Kim MD |
| Practice Office Address | 6410 FANNIN ST STE 1400 HOUSTON, TX US |
| Practice Office Telephone | 8323257125 |
| Practice Office Fax | 7135122200 |
| Mailing Address | 6410 FANNIN ST STE 1400 HOUSTON, TX 770305389 US |
| Business Telephone | 8323257125 |
| Business Fax | 7135122200 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
TX |