JEONG NAM KIM-JUDD MD
NPI 1013100122
Pediatrics in Hazelwood, MO

Active since August 22, 2007
637 DUNN RD STE 180, HAZELWOOD, MO 63042(314) 838-7912(314) 921-6283 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, Apr 24, 2024, Apr 1, 2021 (3 updates tracked since 2021).

About Jeong Nam Kim-judd Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEONG NAM KIM-JUDD MD (NPI 1013100122) is an individual pediatrics provider in Hazelwood, Missouri, licensed in Missouri (2011032430) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1013100122
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJEONG NAM KIM-JUDDCredential: MD
Location Address637 DUNN RD STE 180Hazelwood, MO 63042-1759
Mailing AddressPo Box 419052Saint Louis, MO 63141-9052 · (314) 851-1000 · Fax (314) 851-4449
Fax(314) 921-6283
Sole ProprietorNo
Enumeration DateAugust 22, 2007
Last NPPES UpdateSeptember 9, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1013100122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in MO · 2011032430 Licensed in IL · IL036128909
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
637 DUNN RD STE 180, Hazelwood, MO 63042

Other Names 1

Former Name (1)Jeong Nam Kim Md

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
637 DUNN RD STE 180
HAZELWOOD, MO 63042
Pediatrics
637 DUNN RD STE 180
HAZELWOOD, MO 63042
Pediatrics
637 DUNN RD STE 180
HAZELWOOD, MO 63042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeong Kim-judd's NPI number?

The NPI number for Jeong Kim-judd is 1013100122. It was assigned to this individual provider in the NPPES registry on August 22, 2007. The provider is also known as Jeong Nam Kim MD.

Where is Jeong Kim-judd located?

Jeong Kim-judd practices at 637 Dunn Rd Ste 180, Hazelwood, MO 63042. The listed phone number is (314) 838-7912.

What is Jeong Kim-judd's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Jeong Kim-judd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Jeong Kim-judd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeong Kim-judd was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.