Jackie Sihyun Kim
Speech-Language Pathologist · Cambridge, MA
Practice location
1493 Cambridge StCambridge, MA 02139-1047
- Phone
- (407) 729-3863
NPI record
- NPI
- 1902512650
- Entity type
- Individual (Type 1)
- Enumeration date
- January 26, 2023
- Last updated
- February 22, 2023
- Certified
- February 22, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
78676 | MA |
About Jackie Kim
Jackie Sihyun Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 1493 Cambridge St, Cambridge, MA 02139-1047. The NPI number 1902512650 was assigned on January 26, 2023 and the record was last updated on February 22, 2023.
Jackie Kim lists a license in the registry: #78676 (MA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jackie Sihyun Kim?
The NPI number is 1902512650.
What is the phone number of Jackie Kim?
The phone number listed for the practice location is (407) 729-3863.
Where is Jackie Kim located?
1493 Cambridge St, Cambridge, MA 02139-1047.
What is the taxonomy code for Jackie Kim?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.
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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