Individual provider · Type 1 NPI
Byeongjik Kim
Student in an Organized Health Care Education/Training Program · Manchester, CT
NPI number
1740863745
Active
Practice location
194 Buckland Hills Dr
Manchester, CT 06042-8705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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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- Samantha FreemanStudent in an Organized Health Care Education/Training Program Manchester, CT NPI 1083324453
About NPI 1740863745
Byeongjik Kim's National Provider Identifier is 1740863745, issued on Apr 28, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manchester, CT. The record was last updated on Apr 28, 2021.