Kyu Jean Kim, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

19344 Issued in OK

Practice address

333 N Interstate Dr
Norman, OK 73069-6326

Phone

(405) 329-5761

NPI assigned

Aug 28, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1730856550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N INTERSTATE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N INTERSTATE DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696326",
            "telephone_number": "405-329-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYU",
        "middle_name": "JEAN",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "19344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WALMART PHARMACY",
            "identifier": "1689691792",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CONNEXUS",
            "affiliation": "N",
            "address_1": "333 N Interstate Dr",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730696326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kid'S Choice Therapies, LLC
• Nena Kidd
• Sallie Anne Kight, NA, RDLD
• Megan Killman, MHR, LPC
• Fadalia D Kim, MD
• Kimberly Davis, Rd/LD, P.C., Inc.
• Kimberly M. Wise, M.D., P.C.
• Kellye Diane Kimmel, BSW-SOCIAL WORKER
• Kindling Therapy LLC
• Jeremy David King, O.D.

• All providers in Norman, OK
• Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; 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.