Individual
JU YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
480 RUIN CREEK RD, HENDERSON, NC 27536-2929
(252) 492-3152
(252) 430-1928
Mailing address
480 RUIN CREEK RD, HENDERSON, NC 27536-2929
(252) 492-3152
(252) 430-1928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-02323
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
303349
NC
390200000X
Student in an Organized Health Care Education/Training Program
303349
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2021
Last updated
03/17/2026
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