Individual provider · Type 1 NPI

Jason K. Kim, MD

Vascular Surgery Physician · Raleigh, NC

NPI number 1376733873 Active

Practice location

4414 Lake Boone Trl
Raleigh, NC 27607-7513

Call (919) 784-2300 Map

Fax (919) 784-2301

Mailing address

4414 Lake Boone Trl Ste 505
Raleigh, NC 27607-7521

Other practice locations

  • 4414 Lake Boone Trl Ste 505, Raleigh, NC 27607-7521 · (919) 784-2300

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X2012-02076 (NC)
Vascular Surgery Physician 2086S0129X252638 (NY)
Vascular Surgery Physician Primary 2086S0129X2012-02076 (NC)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1376733873

Jason K. Kim, MD's National Provider Identifier is 1376733873, issued on Jul 31, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Raleigh, NC. The record was last updated on Apr 1, 2021.