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JACKIE KIM
NPI 1376427815
Student in an Organized Health Care Education/Training Program in Beaufort, SC

Active since August 05, 2025
16 WANDO PL, BEAUFORT, SC 29906(201) 600-2206 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackie Kim NPPES

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

JACKIE KIM (NPI 1376427815) is an individual student in an organized health care education/training program in Beaufort, South Carolina and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1376427815
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameJACKIE KIM
Location Address16 WANDO PLBeaufort, SC 29906-6041
Mailing Address16 Wando PlBeaufort, SC 29906-6041 · (201) 600-2206
Phone(201) 600-2206
Sole ProprietorNo
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1376427815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPhysician AssistantTaxonomy 363A00000X
16 WANDO PL, Beaufort, SC 29906
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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 Jackie Kim's NPI number?

The NPI number for Jackie Kim is 1376427815. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Jackie Kim located?

Jackie Kim practices at 16 Wando Pl, Beaufort, SC 29906. The listed phone number is (201) 600-2206.

What is Jackie 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 Jackie Kim was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.