CHONG KIM
NPI 1104410364
Student in an Organized Health Care Education/Training Program in Hyannis, MA

Active since February 26, 2021
735 ATTUCKS LN, HYANNIS, MA 02601(508) 778-5420 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chong Kim NPPES

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

CHONG KIM (NPI 1104410364) is an individual student in an organized health care education/training program in Hyannis, Massachusetts and active in the NPI registry since February 2021. He maintains a secondary practice location in Mattapan.

NPPES Registry Identity

NPI1104410364
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHONG KIM
Location Address735 ATTUCKS LNHyannis, MA 02601-1867
Mailing Address1505 Cheshire CtLawrenceville, GA 30043-6514 · (678) 333-4281
Sole ProprietorYes
Enumeration DateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
NPI 1104410364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
735 ATTUCKS LN, Hyannis, MA 02601

Secondary Practice Location 1

Location 11135 Morton StMattapan, MA 02126-2834 · Phone (617) 533-2278

Accepted Insurance

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.

Dentist
735 ATTUCKS LN
HYANNIS, MA 02601
Nurse Practitioner (Family)
735 ATTUCKS LN
HYANNIS, MA 02601
Registered Nurse
735 ATTUCKS LN
HYANNIS, MA 02601
Registered Nurse
735 ATTUCKS LN
HYANNIS, MA 02601
Nurse Practitioner (Family)
735 ATTUCKS LN
HYANNIS, MA 02601
Registered Nurse (Community Health)
735 ATTUCKS LN
HYANNIS, MA 02601
Registered Nurse
735 ATTUCKS LN
HYANNIS, MA 02601
Dental Hygienist
735 ATTUCKS LN
HYANNIS, MA 02601

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 Chong Kim's NPI number?

The NPI number for Chong Kim is 1104410364. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Where is Chong Kim located?

Chong Kim practices at 735 Attucks Ln, Hyannis, MA 02601. The listed phone number is (508) 778-5420.

What is Chong Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Chong Kim accept?

Health plans from Humana list Chong Kim 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 Chong Kim was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.