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

Joon Tae Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477313302

Joon Tae Kim is a Student in an Organized Health Care Education/Training Program in Stanford, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

291 Campus Dr
Stanford, CA 94305-5101
Phone: (650) 723-4000
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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 number1477313302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address291 Campus Dr, Stanford, CA 94305-5101

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