Jenna Kim
Physician Assistant · Patchogue, NY
NPI number
1730990417
Practice location
101 Hospital RdPatchogue, NY 11772-4870
- Phone
- (631) 654-7100
NPI record
- NPI
- 1730990417
- Entity type
- Individual (Type 1)
- Enumeration date
- January 14, 2025
- Last updated
- March 12, 2025
- Certified
- March 12, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
Mailing address
2037 Dauntless DrGlenview, IL 60026-6811
About Jenna Kim
Jenna Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 101 Hospital Rd, Patchogue, NY 11772-4870. The NPI number 1730990417 was assigned on January 14, 2025 and the record was last updated on March 12, 2025.
Frequently asked questions
What is the NPI number of Jenna Kim?
The NPI number is 1730990417.
What is the phone number of Jenna Kim?
The phone number listed for the practice location is (631) 654-7100.
Where is Jenna Kim located?
101 Hospital Rd, Patchogue, NY 11772-4870.
What is the taxonomy code for Jenna Kim?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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