Individual
JIEON JENNY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3621 DISCOVERY PKWY APT 314, COLUMBIA, MO 65201-7327
(314) 413-2358
Mailing address
3621 DISCOVERY PKWY APT 314, COLUMBIA, MO 65201-7327
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/27/2026
Last updated
02/27/2026
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