Individual provider · Type 1 NPI

Theodore Kim

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1598568982 Active

Practice location

330 Brookline Ave
Boston, MA 02215-5400

Call (617) 667-7000 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 1598568982

Theodore Kim's National Provider Identifier is 1598568982, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Jun 10, 2026.