Provider Demographics
NPI:1235883323
Name:KIM, CHIN KYONG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHIN
Middle Name:KYONG
Last Name:KIM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JEANNIE
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6851 BOWLES CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8575
Mailing Address - Country:US
Mailing Address - Phone:304-389-4272
Mailing Address - Fax:
Practice Address - Street 1:6851 BOWLES CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-8575
Practice Address - Country:US
Practice Address - Phone:304-389-4272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH032283261835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology