Jieun Kim, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD435086 Issued in PA

Practice address

921B N Bethlehem Pike Ste 305
Lower Gwynedd, PA 19002-1319

Phone

(215) 771-1434

Fax

(866) 721-3170

NPI assigned

May 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1215138458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 WASHIGTON AVENUE, SUITE 2B",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189402222",
            "telephone_number": "215-771-1434",
            "fax_number": "866-721-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921B N BETHLEHEM PIKE STE 305",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190021319",
            "telephone_number": "215-771-1434",
            "fax_number": "866-721-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JIEUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD435086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Hungate, MA
• Randall N. Hyer, M.D., PH.D., M.P.H.
• Joseph F. Mambu, MD PC
• Helen Marita Kane, MS, RD, LDN
• Genevieve M Kim, MA MFT
• Stacie R Kisver, RD
• Jean Kriebel, PTA
• Kyunghee Holistic Center LLC
• Gloria Paulette Laboy Muniz, MD
• Land Chiropractic PC

• Child & Adolescent Psychiatry Physician in Lower Gwynedd, PA
• Providers in Lower Gwynedd, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.