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CALEB YOUNGHO KIM
NPI 1053114769
Student in an Organized Health Care Education/Training Program in Everett, WA

Active since March 28, 2025
1321 COLBY AVE STE B400, EVERETT, WA 98201(425) 297-5234 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Mar 28, 2025 (2 updates tracked since 2025).

About Caleb Youngho Kim NPPES

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

CALEB YOUNGHO KIM (NPI 1053114769) is an individual student in an organized health care education/training program in Everett, Washington and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1053114769
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCALEB YOUNGHO KIM
Location Address1321 COLBY AVE STE B400Everett, WA 98201-1665
Mailing Address1321 Colby Ave Ste B400Everett, WA 98201-1665 · (425) 297-5234
Phone(425) 297-5234
Sole ProprietorYes
Enumeration DateMarch 28, 2025
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1053114769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1321 COLBY AVE STE B400, Everett, WA 98201
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Other Providers at the Same Location NPPES 20

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

DR. MICHELLE LIANG MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
SEAN KEKAIANIANI TERADA
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
BROOKE NICHOLE WAKEMAN MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
JORGE RENE PARRA DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
CAMERON RICHARDS DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
SPENCER CLINTON HASSMAN DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
DEREK MICHAEL WENGRYN MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
KENNEDY TOBIN
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234

Frequently Asked Questions

What is Caleb Kim's NPI number?

The NPI number assigned to this healthcare provider is 1053114769, enumerated as an "individual" on March 28, 2025.

Where is the provider located?

The provider is located at 1321 COLBY AVE STE B400 EVERETT, WA 98201 and the phone number is (425) 297-5234.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.