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

Jiwon Kim

Individual provider Speech-Language Pathologist · NPI 1245113083

Jiwon Kim is a Speech-Language Pathologist in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 442-4022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP101789 (MA)

Record details

NPI number1245113083
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025
Mailing address465 Meadow Rd Apt 8203, Princeton, NJ 08540-6361

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