Active NPIIndividual provider

Tae Youn Kim

Student in an Organized Health Care Education/Training Program in Atlanta, Georgia

NPI Number1124895925
Practice location
1364 Clifton RD NE, Atlanta, GA 30322-1802
Fax
—
Last updated
March 25, 2025

Tae Youn Kim is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Tae Youn Kim practices in Atlanta, GA. The NPI Number for Tae Youn Kim is 1124895925. The current practice location address for Tae Youn Kim is 1364 Clifton RD NE, Atlanta, GA 30322-1802 and can be reached out via phone at 404-778-7777.

Provider Profile Details

NPI Number
1124895925
Provider Name
Tae Youn Kim
Provider Entity Type
Individual
Gender
Male
Address
1364 Clifton RD NE, Atlanta, GA 30322-1802
Phone Number
404-778-7777
Sole Proprietor
No
Provider Enumeration Date
December 11, 2023
Last Update Date
March 25, 2025
Certification Date
March 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1364 Clifton RD NE
Atlanta, GA 30322-1802
State
Georgia
Zip
30322-1802
Phone Number
404-778-7777
Atlanta, GA 30322Get directions →

Provider Business Mailing Address Details

Address
150 Heard St
Chelsea, MA 02150-1977
City
Chelsea
State
MA
Zip
02150-1977

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tae Youn Kim?

The NPI number of Tae Youn Kim is 1124895925. It was assigned on December 11, 2023 and is currently active in the NPPES registry.

What is the specialty of Tae Youn Kim?

Tae Youn Kim is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Tae Youn Kim practice?

The practice location is 1364 Clifton RD NE, Atlanta, GA 30322-1802. The office can be reached at 404-778-7777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124895925 directly on the NPPES registry website.

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