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

Jae Hyeon Kim

Individual provider General Practice Registered Nurse · NPI 1699510735

Jae Hyeon Kim is a General Practice Registered Nurse in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

655 W Lombard St
Baltimore, MD 21201-1512
Phone: (410) 706-0501
Show map & directions

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

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence R222631 (MD)

Record details

NPI number1699510735
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2024
Last updated in NPPESJune 29, 2024
Certification dateJune 29, 2024
Mailing address655 W Lombard St, Baltimore, MD 21201-1512

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