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

Dr. Jaejoong Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306582457

Dr. Jaejoong Kim, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 273-9824
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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 82742 (MN)

Record details

NPI number1306582457
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

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