Individual provider · Type 1 NPI

Jaeyoung Kim, MD

Orthopaedic Foot and Ankle Surgery Physician · Boston, MA

NPI number 1053016709 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

265 E 66th St Apt 11D
New York, NY 10065-6490

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Orthopaedic Foot and Ankle Surgery Physician Primary 207XX0004X3015846 (MA)

Orthopaedic Foot and Ankle Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

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About NPI 1053016709

Jaeyoung Kim, MD's National Provider Identifier is 1053016709, issued on Apr 3, 2023. The primary taxonomy on file is Orthopaedic Foot and Ankle Surgery Physician (207XX0004X), and the practice location is in Boston, MA. The record was last updated on Jan 8, 2025.