Individual provider · Type 1 NPI

So Yeon Kim, DO

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1174227953 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (678) 790-1477 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1174227953

So Yeon Kim, DO's National Provider Identifier is 1174227953, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 9, 2023.