KENNETH KIM NPI 1164914339

NPI Information

Kenneth Kim is a student in an organized health care education training program in Jamaica, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kenneth Kim NPI is 1164914339. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9027 SUTPHIN BLVD
JAMAICA, NY
ZIP 11435-647
Phone: (718) 526-8400

The enumeration date for this NPI number is 6/4/2018 and was last updated on 6/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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