Individual provider · Type 1 NPI

Jenny Kim

Medical Physician Assistant · Cumming, GA

NPI number 1275418980 Active

Practice location

4150 Dep Bill Cantrell Memorial Rd Ste 290
Cumming, GA 30040-3002

Call (404) 446-0600 Map

Fax (404) 446-0601

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X13291 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1275418980

Jenny Kim's National Provider Identifier is 1275418980, issued on Aug 11, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cumming, GA. The record was last updated on Aug 11, 2025.