Individual provider · Type 1 NPI

Jennifer Han Kim, DDS

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1508666173 Active

Practice location

650 W Baltimore St
Baltimore, MD 21201-1510

Call (917) 455-2604 Map

Mailing address

300 W Redwood St Apt 1123
Baltimore, MD 21201-2360

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 1508666173

Jennifer Han Kim, DDS's National Provider Identifier is 1508666173, issued on Mar 13, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Mar 13, 2025.