Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chan Woo Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336879501

Chan Woo Kim, MD is a Student in an Organized Health Care Education/Training Program in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.

Licensed in
RI
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 444-4741
Fax: (401) 444-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence LP05521 (RI)

Record details

NPI number1336879501
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2022
Last updated in NPPESJune 12, 2022
Certification dateJune 12, 2022
Mailing address593 Eddy St, Providence, RI 02903-4923

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