Provider Demographics
NPI:1639191661
Name:KIM, HUI JIN (MD)
Entity Type:Individual
Prefix:
First Name:HUI
Middle Name:JIN
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4409 UTICA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-6530
Mailing Address - Country:US
Mailing Address - Phone:504-457-3687
Mailing Address - Fax:504-620-0250
Practice Address - Street 1:4409 UTICA ST
Practice Address - Street 2:SUITE 100
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-6530
Practice Address - Country:US
Practice Address - Phone:504-457-3687
Practice Address - Fax:504-620-0250
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA025741207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1946095Medicaid
LA1042986Medicaid
LA1437254984OtherGROUP NPI
LA5F615Medicare PIN
LA1437254984OtherGROUP NPI
LA1042986Medicaid