HYOJEONG KIM APRN
NPI 1700128162
Nurse Practitioner - Gerontology in Detroit, MI

Active since March 25, 2013
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 16, 2026, Jan 23, 2019 (2 updates tracked since 2019).

About Hyojeong Kim Aprn NPPES

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

HYOJEONG KIM APRN (NPI 1700128162) is an individual gerontology provider in Detroit, Michigan, licensed in Michigan (4704283603) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1700128162
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameHYOJEONG KIMCredential: APRN
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000
Sole ProprietorNo
Enumeration DateMarch 25, 2013
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
NPI 1700128162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704283603
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704283603 (MI)
4646 JOHN R ST, Detroit, MI 48201

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.

Physician Assistant
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST, VAMC
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
4646 JOHN R ST
DETROIT, MI 48201
Psychiatry & Neurology (Geriatric Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
4646 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Family)
4646 JOHN R ST
DETROIT, MI 48201
Nurse Practitioner (Adult Health)
4646 JOHN R ST
DETROIT, MI 48201
Internal Medicine
4646 JOHN R ST, JOHN D DINGELL VA MEDICAL CENTER
DETROIT, MI 48201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700128162, enumerated as an "individual" on March 25, 2013.

The provider is located at 4646 JOHN R ST DETROIT, MI 48201 and the phone number is (313) 576-1000.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.