Individual provider · Type 1 NPI
Jae Hyeon Kim
General Practice Registered Nurse · Baltimore, MD
NPI number
1699510735
Active
Practice location
655 W Lombard St
Baltimore, MD 21201-1512
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 1800 Orleans St, Baltimore, MD 21287-0010 · (410) 502-2037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | R222631 (MD) |
General Practice Registered Nurse: Definition to come...
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About NPI 1699510735
Jae Hyeon Kim's National Provider Identifier is 1699510735, issued on Jun 29, 2024. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 17, 2026.