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

Jeong Nam Kim-Judd, MD

Individual provider Pediatrics Physician · NPI 1013100122

Jeong Nam Kim-Judd, MD is a Pediatrics Physician in Hazelwood, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2007.

Licensed in
IL, MO
In the registry since
2007
Specialties on file
2
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

637 Dunn Rd Ste 180
Hazelwood, MO 63042-1759
Phone: (314) 838-7912
Fax: (314) 921-6283
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2011032430 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence IL036128909 (IL)

Record details

NPI number1013100122
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2007
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

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