Jennifer Kim, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3608 Issued in TN

Practice address

336 Broomsedge TRL Apt 312
Chattanooga, TN 37405-1115

Phone

(224) 431-4729

NPI assigned

Aug 19, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1134847692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BROOMSEDGE TRL APT 312",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051115",
            "telephone_number": "224-431-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BROOMSEDGE TRL APT 312",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374051115",
            "telephone_number": "224-431-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JENNIFER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "thegrovechiropractic@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "336 Broomsedge Trl Apt 312",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374051115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Killeen
• Traci L Kilmartin, LP, CP
• Jason Andrew Kilmer, DO
• Sandra L Kilpatrick, PHD
• Nia-Marie Kilstofte
• John S Kim, MD
• James Foster Kimball, D.D.S.
• Michelle S Kimball, CPNP
• Connor William Kimbrell, MD
• Kimsey Radiation Oncology

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.