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

Jae Hyun Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619670387

Jae Hyun Kim, MD is a Student in an Organized Health Care Education/Training Program in Lutz, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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

21808 State Road 54
Lutz, FL 33549-6923
Phone: (813) 922-8621
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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 number1619670387
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

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