Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jisoo Annice Kim

Individual provider Speech-Language Pathologist · NPI 1184069577

Jisoo Annice Kim is a Speech-Language Pathologist in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

59 Thompson St Apt 14
New York, NY 10012-4360 Not confirmed with CMS for 12 years — call before visiting
Phone: (917) 734-9894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X (NY)

Record details

NPI number1184069577
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 30, 2013
Last updated in NPPESMarch 3, 2014

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