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

Jisu Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700505146

Jisu Kim is a Student in an Organized Health Care Education/Training Program in Shaker Heights, Ohio. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

22001 Fairmount Blvd
Shaker Heights, OH 44118-4819
Phone: (216) 320-8628
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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 number1700505146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2022
Last updated in NPPESAugust 26, 2022
Certification dateAugust 26, 2022
Mailing address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

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