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

Jenna Kim

Individual provider Physician Assistant · NPI 1730990417

Jenna Kim is a Physician Assistant in Patchogue, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

101 Hospital Rd
Patchogue, NY 11772-4870
Phone: (631) 654-7100
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730990417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 14, 2025
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025
Mailing address2037 Dauntless Dr, Glenview, IL 60026-6811

Other providers in Patchogue