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

Jiyoung Kim

Individual provider Occupational Therapist · NPI 1699509588

Jiyoung Kim is an Occupational Therapist in Henderson, Nevada. Licensed in Florida and Nevada. Registered with an NPI since 2024.

Licensed in
FL, NV
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

400 N Stephanie St Ste 310
Henderson, NV 89014-6608
Phone: (702) 454-1162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3543 (NV)
Occupational Therapist Taxonomy 225X00000X · Licence 25533 (FL)

Record details

NPI number1699509588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 31, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address6760 Kimberly Blvd, North Lauderdale, FL 33068-2545

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