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

Jae Kyun Kim

Individual provider Medical-Surgical Registered Nurse · NPI 1770298218

Jae Kyun Kim is a Medical-Surgical Registered Nurse in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

450 E 63rd St Apt 11F
New York, NY 10065-7934
Phone: (646) 942-2510
Show map & directions

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

Additional practice locations (1)

  • 450 E 63rd St Apt 11f, New York, NY 10065-7934 — (646) 942-2510

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence 556136-01 (NY)

Record details

NPI number1770298218
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 19, 2023
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

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