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Individual
JAEYOUNG KIM
Active
Individual
JAEYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
3015846
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/03/2023
Last updated
01/08/2025
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