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

Chong Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104410364

Chong Kim is a Student in an Organized Health Care Education/Training Program in Hyannis, Massachusetts. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

735 Attucks Ln
Hyannis, MA 02601-1867
Phone: (508) 778-5420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1135 Morton St, Mattapan, MA 02126-2834 — (617) 533-2278

Specialties & licences

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

Record details

NPI number1104410364
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address1505 Cheshire Ct, Lawrenceville, GA 30043-6514

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