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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578143475

Hyonju Kim, MD is a Student in an Organized Health Care Education/Training Program in Ithaca, New York. Registered with an NPI since 2021.

In the registry since
2021
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

101 Dates Dr
Ithaca, NY 14850-1383
Phone: (607) 339-0494
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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

Record details

NPI number1578143475
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESApril 13, 2021
Certification dateApril 13, 2021

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