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Contact Information

JASON KIM
9002 N MERIDIAN ST STE 100
INDIANAPOLIS, IN46260-2301
 Phone: 317-844-5530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JASON KIM · (Male)

NPI Number 1174028997
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2018
Last updated 09/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01087088A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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