Jae Hyun Kim

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

1918 Coliseum Blvd
Greensboro, NC 27403-3211

Phone

(336) 294-7923

Fax

(336) 294-3961

NPI assigned

Apr 25, 2008

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1689849176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 COLISEUM BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033211",
            "telephone_number": "336-294-7923",
            "fax_number": "336-294-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 COLISEUM BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033211",
            "telephone_number": "336-294-7923",
            "fax_number": "336-294-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JAE",
        "middle_name": "HYUN",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney N Kilpatrick, M.A., CCC-SLP
• George R Kilpatrick Jr., M.D.
• Luke Kelly Kilroy, PA-C
• Rita M Kilroy, PA-C
• Hannah Ross Kim, D.O.
• Jennifer Jeane Kim, PHARMD
• Jeong Wan Kim, RN
• Ko Kim, NP
• Yoon M Kim, DO
• Young Kwang Kim, DMD

• Prosthetist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Prosthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.