Individual provider · Type 1 NPI

Joon Tae Kim

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1477313302 Active

Practice location

291 Campus Dr
Stanford, CA 94305-5101

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 1477313302

Joon Tae Kim's National Provider Identifier is 1477313302, issued on Mar 19, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Jun 17, 2025.