Individual
JACLYN JEONGHOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 DUNN RD STE 110, HAZELWOOD, MO 63042-1753
(314) 731-1113
(314) 731-4020
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 731-1113
(314) 731-4020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025029327
MO
Other
Enumeration date
05/16/2022
Last updated
07/25/2025
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