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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376269225

Kaetlyn Alysse Eun Hae Kim is a Student in an Organized Health Care Education/Training Program in LA Verne, California. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1350 3rd St
LA Verne, CA 91750-5201
Phone: (909) 593-2581
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1376269225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 12, 2022
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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