Provider Demographics
NPI:1790825669
Name:KIM, JEROME HAHN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEROME
Middle Name:HAHN
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:RETROVIROLOGY
Mailing Address - Street 2:USAMC - AFRIMS
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96546
Mailing Address - Country:US
Mailing Address - Phone:662-644-4888
Mailing Address - Fax:662-644-4824
Practice Address - Street 1:RETROVIROLOGY
Practice Address - Street 2:USAMC - AFRIMS
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96546
Practice Address - Country:US
Practice Address - Phone:662-644-4888
Practice Address - Fax:662-644-4824
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2008-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD50214207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease