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

Taeyoon Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043952344

Taeyoon Kim is a Student in an Organized Health Care Education/Training Program in Syracuse, New York. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-1834
Phone: (315) 464-7617
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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 number1043952344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2022
Last updated in NPPESApril 8, 2022
Certification dateApril 8, 2022

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