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

JEONG WAN KIM RN
NPI 1245148774
Registered Nurse in Greensboro, NC

Q: What is Jeong Wan Kim's NPI number?

The NPI number for Jeong Wan Kim is 1245148774. It was assigned to this individual provider in the NPPES registry on August 27, 2026. The provider is also known as John Kim.

Q: What is Jeong Wan Kim's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeong Wan Kim was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 27, 2026

124 E GATE CITY BLVD, GREENSBORO, NC 27406(336) 375-9232 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jeong Wan Kim Rn NPPES

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

JEONG WAN KIM RN (NPI 1245148774) is an individual registered nurse in Greensboro, North Carolina, licensed in North Carolina (356692) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1245148774

Entity TypeIndividualMale

Primary Taxonomy163W00000X

Provider Legal NameJEONG WAN KIMCredential: RN

Location Address124 E GATE CITY BLVDGreensboro, NC 27406-1457

Mailing Address2304 Scouting CtHigh Point, NC 27265-9460

Phone(336) 375-9232

Sole ProprietorNo

Enumeration DateAugust 27, 2026

NPPES CertifiedAugust 27, 2026

✔ NPI 1245148774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in NC · 356692

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

124 E GATE CITY BLVD, Greensboro, NC 27406

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Other Names 1

Other Name (5)John Kim

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.

ASHLEY JAMISON

Registered Nurse (Critical Care Medicine)