# DR. JAE Y KIM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609168327
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 0101259733 | VA | — |
| 207YS0123X | Facial Plastic Surgery Physician | 0101259733 | VA | Yes |

## Other

- **Enumeration date:** 05/12/2011
- **Last updated:** 09/03/2024