Provider Demographics
NPI:1487816732
Name:KIM, JUHEE (MD)
Entity Type:Individual
Prefix:DR
First Name:JUHEE
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 BODIN CIR
Mailing Address - Street 2:FAMILY HEALTH CLINIC
Mailing Address - City:TRAVIS AFB
Mailing Address - State:CA
Mailing Address - Zip Code:94535-1809
Mailing Address - Country:US
Mailing Address - Phone:707-423-3731
Mailing Address - Fax:707-423-7419
Practice Address - Street 1:101 BODIN CIR
Practice Address - Street 2:FAMILY HEALTH CLINIC
Practice Address - City:TRAVIS AFB
Practice Address - State:CA
Practice Address - Zip Code:94535-1809
Practice Address - Country:US
Practice Address - Phone:707-423-5349
Practice Address - Fax:707-423-9193
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2012-08-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101247559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine