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

Kenneth Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164914339

Kenneth Kim is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Practices as a sole proprietor. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

9027 Sutphin Blvd
Jamaica, NY 11435-3647
Phone: (718) 526-8400
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

Record details

NPI number1164914339
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2018
Last updated in NPPESJune 4, 2018

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