Individual provider · Type 1 NPI
Dennis Taerang Kim
Student in an Organized Health Care Education/Training Program · Boston, MA
NPI number
1053265694
Active
Practice location
250 Mount Vernon St
Boston, MA 02125-3120
Mailing address
36 Stone Ave
Somerville, MA 02143-3006
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1053265694
Dennis Taerang Kim's National Provider Identifier is 1053265694, issued on Feb 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Feb 23, 2026.