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

Jacqueline Ilji Kim

Individual provider Surgery Physician · NPI 1871056739

Jacqueline Ilji Kim is a General Surgery in Saint Louis, Missouri. Graduated from New York University School of Medicine in 2019, 7 years ago. Licensed in Missouri.

Years since qualifying
7
Trained at
New York University School of Medicine
Licensed in
MO
In the registry since
2019

Practice location Address checks out

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110-1003
Phone: (314) 747-9889
Fax: (314) 361-4197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2026024431 (MO)

Record details

NPI number1871056739
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Saint Louis