NPI 1114552296

Jinah Kim

Practitioner Pharmacist Provo, UT

Practice location

Address: 545 Columbia Ln, Provo, UT 84604-2450
Phone: (385) 477-4942

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10696568 (UT)

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Registry record

NPI: 1114552296
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2020
Record last updated: 19 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.