Individual provider · Type 1 NPI
Jaeyoung Kim, MD
Orthopaedic Foot and Ankle Surgery Physician · Boston, MA
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
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Orthopaedic Foot and Ankle Surgery Physician Primary | 207XX0004X | 3015846 (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.