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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780529107

Justin Kim is a Student in an Organized Health Care Education/Training Program in Mount Vernon, Illinois. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Mount Vernon, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780529107
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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