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

Jiyeon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457152779

Jiyeon Kim is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone: (817) 250-2000
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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 number1457152779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2025
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025
Mailing address1301 Pennsylvania Ave, Fort Worth, TX 76104-2122

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