Individual
YEON KIM
Active
Individual
YEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MA060272
PA
363AM0700X
Medical Physician Assistant
Primary
MA060272
PA
Other
Enumeration date
12/04/2018
Last updated
07/23/2025
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