Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Boyoung Kim, PA-C

Individual provider Medical Physician Assistant · NPI 1316634173

Boyoung Kim, PA-C is a Physician Assistant in Jackson, Michigan. Qualified in 2023, 3 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1055 Laurence Ave
Jackson, MI 49202-2964
Phone: (517) 273-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2348 Jonathon Ct, Ann Arbor, MI 48108-2525 — (734) 709-3908

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601012203 (MI)

Record details

NPI number1316634173
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 21, 2023
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations14 on file with Medicare

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