Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUNGJIN KIM MSC, RN
NPI 1194636639
Student in an Organized Health Care Education/Training Program in Normal, IL

Active since September 14, 2026
2933 GREY HAWK DR, NORMAL, IL 61761(309) 830-4065 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Sungjin Kim Msc, Rn NPPES

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

SUNGJIN KIM MSC, RN (NPI 1194636639) is an individual student in an organized health care education/training program in Normal, Illinois, licensed in Illinois (041481934) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1194636639
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSUNGJIN KIMCredential: MSC, RN
Location Address2933 GREY HAWK DRNormal, IL 61761-7512
Mailing Address2933 Grey Hawk DrNormal, IL 61761-7512 · (309) 830-4065
Sole ProprietorNo
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1194636639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in IL · 041481934
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.
2933 GREY HAWK DR, Normal, IL 61761

Other Names 1

Other Name (5)Agnes Kim Msc, Rn

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 Sungjin Kim's NPI number?

The NPI number for Sungjin Kim is 1194636639. It was assigned to this individual provider in the NPPES registry on September 14, 2026. The provider is also known as Agnes Kim Msc, Rn.

Where is Sungjin Kim located?

Sungjin Kim practices at 2933 Grey Hawk Dr, Normal, IL 61761. The listed phone number is (309) 830-4065.

What is Sungjin Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Sungjin Kim was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.