Search › Michigan › 207W00000X
Jae Kim, MD
NPI 1497287635 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1922 Monroe St
Dearborn, MI 48124 - Phone
- (313) 274-7540
- Organisation at this address
- Blue Sky Vision Eye Care, Pc
Tukel -Kozlow Eye Center, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 100 Stein Plz, Los Angeles, CA
- 4717 Saint Antoine St, Detroit, MI
- 6850 Lake Nona Blvd, Orlando, FL
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Also registered as
- 207W00000X
390200000X - Licence states on file
- CA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan