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

Michelle Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245644608

Michelle Kim is a Student in an Organized Health Care Education/Training Program in Leominster, Massachusetts. Licensed in Virginia. Registered with an NPI since 2014.

Licensed in
VA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

55 Sack Blvd
Leominster, MA 01453-3325
Phone: (978) 466-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401415127 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245644608
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2014
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025
Mailing address2216 Ivy Rd Ste 205, Charlottesville, VA 22903-4966

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