JENNY M LEE KIM (NPI# 1871734731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871734731 |
| Entity Type | Individual |
| Full Name | JENNY M LEE KIM |
| Credential | M.D. |
| Practice Address |
911 E Tuolumne Rd Turlock CA 95382-1543 |
| Practice Telephone | 2096684101 |
| Practice Fax Number | 2096683758 |
| Mailing Telephone | 2096684101 |
| Mailing Fax Number | 2096683758 |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A61272 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538670120 | Jenny Yunhee Kim | Counselor | 109 W 38th St Fl 3, New York, NY 10018-3615 | 2017-10-23 |
| 1609927896 | Jenny A Kim | Dentist | 1538 E Collins Ave, Orange, CA 92867-5934 | 2007-01-15 |
| 1275531907 | Jenny Christine Kim | Otolaryngology | 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | 2005-07-07 |
| 1346868858 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390-7200 | 2020-07-10 |
| 1962021758 | Jenny Jina Kim | Student in an Organized Health Care Education/Training Program | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2020-04-11 |
| 1538798962 | Jenny Kim | Nurse Practitioner | 2901 Telestar Ct Ste 200, Falls Church, VA 22042-1262 | 2020-04-07 |
| 1306473806 | Jenny Kim | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 | 2020-03-24 |
| 1952943953 | Jenny Y Kim | Registered Nurse | 9669 Kenton Ave Ste 405, Skokie, IL 60076-1267 | 2019-10-10 |
| 1982118469 | Jenny H Kim | Dental Hygienist | 10602 Chapman Ave Ste 200, Garden Grove, CA 92840-3147 | 2017-11-20 |
| 1740647213 | Jenny Kim | Nurse Practitioner | 41 E Post Rd, White Plains, NY 10601-4607 | 2016-01-28 |
| Street Address |
911 E TUOLUMNE RD |
| City | TURLOCK |
| State | CA |
| Zip Code | 95382-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336147040 | Rafael R Soria | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2005-07-07 |
| 1215563093 | Danielle Marie Prock | Nurse Practitioner | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2020-03-12 |
| 1730319906 | Alisha Nicole Pratt | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2009-07-21 |
| 1538298575 | Ronald Johanson, Thomas Wilson, James Maclaren Ptrs | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2007-03-05 |
| 1497844559 | Thomas Ian Wilson | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
| 1497844575 | James C Maclaren Jr. | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
| 1457440547 | Scott Charles Hennes | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
| 1033208145 | James Christopher Knapp | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
| 1417047572 | Richard K Freeman | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-10-12 |
| 1629170352 | James Lee Reape | Physician Assistant | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2006-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710546536 | S.h.desai, D.d.s. Dental Corporation | Dentist | 3960 Geer Rd, Turlock, CA 95382 | 2019-06-06 |
| 1063982403 | Sangho N/a Cho | Occupational Therapy Assistant | 3025 West Christoffersen Pkwy, Turlock, CA 95382 | 2018-11-28 |
| 1669957254 | Leah Griffith | Behavioral Analyst | 4252 Bardini Way, Turlock, CA 95382 | 2018-09-28 |
| 1508344417 | Aspiranet | Community/Behavioral Health | 1145 W Tuolumne Rd, Turlock, CA 95382 | 2018-08-02 |
| 1730618174 | Hannah Roach | Case Manager/Care Coordinator | 4650 N Olive Ave, Turlock, CA 95382 | 2017-06-08 |
| 1801332960 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2701 N. Berkeley Ave., Turlock, CA 95382 | 2017-01-13 |
| 1205209723 | Caremore Health Plan | Nurse Practitioner | 1000 Delbon Avenue, Suite 5, Turlock, CA 95382 | 2015-11-05 |
| 1942615836 | Michael Collins | Emergency Medical Technician, Basic | 1890 Trail Way, Turlock, CA 95382 | 2014-06-30 |
| 1720493042 | Brandi Purpura | Physical Therapy Assistant | 3800 Geer Rd #101, Turlock, CA 95382 | 2014-06-25 |
| 1255751582 | Erin Hannink | Physical Medicine & Rehabilitation | 3800 Geer Rd Suite 101, Turlock, CA 95382 | 2014-04-25 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912061045 | Randall Jay Paul | Family Medicine | 500 W F St, Employee Health Services, Turlock, CA 95380-5963 | 2006-12-21 |
| 1073691572 | Susan P. Le | Family Medicine | 2010 Colorado Ave, Turlock, CA 95382-2002 | 2006-11-01 |
| 1265528673 | Kathleen Kearns | Family Medicine | 800 Delbon Avenue, Turlock, CA 95382 | 2006-10-04 |
| 1336231406 | Michael L. Brodie | Family Medicine | 2211 N Johnson Rd, Turlock, CA 95382-6723 | 2006-09-28 |
| 1235181736 | Michael Lee Brodie | Family Medicine | 1145 Geer Rd, Turlock, CA 95380-3381 | 2006-05-16 |
| 1972551786 | Ying Luo | Family Medicine | 1015 E Main St, Turlock, CA 95380-3406 | 2006-05-04 |
| 1790765428 | Rodney J Avilla | Family Medicine | 2101 Geer Rd, #303, Turlock, CA 95382 | 2006-01-19 |
| 1336147040 | Rafael R Soria | Family Medicine | 911 E Tuolumne Rd, Turlock, CA 95382-1543 | 2005-07-07 |
| 1538782602 | Tabitha Rebecca James | Family Medicine | 825 Delbon Ave, Turlock, CA 95382-2016 | 2020-05-24 |
| 1679002398 | Edrees Mateen | Family Medicine | 3100 W Christoffersen Pkwy, Turlock, CA 95382-9547 | 2017-06-06 |
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| 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.