DR. JI SUN JOY KIM DO NPI 1346828332

NPI Information

  • NPI: 1346828332
  • Provider Name: DR. JI SUN JOY KIM, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10060 REGENCY CIR
    OMAHA, NE
    ZIP 68114
  • Phone: (402) 354-1431

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NPI Details

DR. Ji Sun Joy Kim, DO is a family medicine in Omaha, NE with 5 years of experience. The provider is 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. DR. Ji Sun Joy Kim, DO NPI is 1346828332. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CAMPBELL UNIV SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2021

The provider's business location address is:

10060 REGENCY CIR
OMAHA, NE
ZIP 68114-732
Phone: (402) 354-1431
Fax: (402) 354-1545

The NPI 1346828332 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2021 and was last updated on 9/19/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine125.078708ILLINOISNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207Q00000XFamily Medicine2930NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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