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

Jiwon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790545705

Jiwon Kim is a Student in an Organized Health Care Education/Training Program in Las Cruces, New Mexico. Licensed in New Mexico. Registered with an NPI since 2024.

Licensed in
NM
In the registry since
2024

Practice location Address checks out

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone: (630) 706-0562
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 (NM)

Record details

NPI number1790545705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 18, 2024

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