JENNIFER D. KEEN-KIM


Address: 201 Industrial Rd Ste 410, San Carlos, CA 94070-2396
Phone: 6502499090

JENNIFER D. KEEN-KIM (NPI# 1063992386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063992386
Entity Type Individual
Full Name JENNIFER D. KEEN-KIM
Credential PH.D
Practice Address 201 Industrial Rd Ste 410
San Carlos
CA 94070-2396
Practice Telephone 6502499090
Mailing Telephone 6502499090
Enumeration Date 2018-08-16
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207SG0203X Medical Genetics
Specialization: Clinical Molecular Genetics
DRN00000044 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA LICENSE DRN00000044 01
CA LICENSE DRM00000056 01

Office Location

Street Address 201 INDUSTRIAL RD STE 410
City SAN CARLOS
State CA
Zip Code 94070-2396

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669943189 Regina Rayz Community Health Worker Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 2018-12-10
1275026668 Zhimiao Wang Acupuncturist 1608 Laurel St, San Carlos, CA 94070 2018-06-11
1922508324 Erica Garica Romero Counselor 610 Elm Street, Suite 212, San Carlos, CA 94070 2018-02-13
1619482429 Yicheng Han Counselor 527 Hillcrest Rd., San Carlos, CA 94070 2017-12-04
1679082192 Enrique Francisco Delgado Counselor 610 Elm St. #212, San Carlos, CA 94070 2017-09-27
1871011379 Melanie Schug Counselor 610 Elm Street, Suite 212, San Carlos, CA 94070 2017-09-05
1891213393 Teresa Wace Counselor 1303 San Carlos Avenue, San Carlos, CA 94070 2017-09-05
1437671344 Ana Garcia Counselor 957 Industrial Road, Suite B, San Carlos, CA 94070 2017-07-12
1629527825 Annette Waters Speech-Language Pathologist 1017 Cedar St, San Carlos, CA 94070 2016-09-28
1962831297 Kathleen Lauren Mcspadden Marriage & Family Therapist 1303 San Carlos Ave., San Carlos, CA 94070 2013-11-07
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Taxonomy Information

Taxonomy Code 207SG0203X
Grouping Allopathic & Osteopathic Physicians
Classification Medical Genetics
Specialization Clinical Molecular Genetics

Taxonomy Definition

A clinical molecular geneticist demonstrates competence in performing and interpreting molecular analyses relevant to the diagnosis and management of human genetic diseases and is a consultant regarding laboratory diagnosis of a broad range of inherited disorders.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679103873 Rady Children's Hospital Research Center Medical Genetics 7910 Frost St Ste 240, San Diego, CA 92123-2781 2020-01-16
1083279830 Diagnomics Medical Genetics 5795 Kearny Villa Rd, San Diego, CA 92123-1111 2019-05-07
1518428119 Dnafeed Inc Medical Genetics 13423 Moreton Gln, San Diego, CA 92130-1421 2019-03-27
1073054722 Helio Azevedo Costa Medical Genetics 3375 Hillview Ave Rm 2201, Palo Alto, CA 94304-1204 2017-03-14
1023190857 Xiao-dong Han Medical Genetics 5755 Cottle Road, Building #6, Tpmg Regional Genetics Laboratory, San Jose, CA 95123 2006-10-20
1669082558 Kristin Kimberly Mcdonald Gibson Medical Genetics 1400 16th St, San Francisco, CA 94103-5110 2020-08-05
1043846728 Chia-ling Gau Kawakami Medical Genetics 15 Argonaut, Aliso Viejo, CA 92656-1423 2020-03-13
1174031850 Saurav Guha Medical Genetics 180 Kimball Way, South San Francisco, CA 94080-6218 2018-01-17
1972057362 Victoria Howell Medical Genetics 10666 N Torrey Pines Rd, Box 217, La Jolla, CA 92037-1027 2016-08-15
1568860120 Joshua Deignan Medical Genetics 10833 Le Conte Ave, Reed 3155, Los Angeles, CA 90095-3075 2014-12-15
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Competitor

Search similar providers

City SAN CARLOS
Zip Code 94070

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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