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

Jeeyeon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912466236

Jeeyeon Kim is a Student in an Organized Health Care Education/Training Program in Lebanon, Oregon. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

200 Mullins Dr
Lebanon, OR 97355-3983
Phone: (541) 259-0235
Show map & directions

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 number1912466236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2019
Last updated in NPPESDecember 18, 2019
Certification dateDecember 18, 2019
Mailing address200 Mullins Dr, Lebanon, OR 97355-3983

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