IndividualActive
Jaeyoung Kim, MD
NPI 1053016709 · Orthopaedic Foot and Ankle Surgery Physician · Boston, MA
Provider details
- NPI number
- 1053016709
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Mailing address
265 E 66th St Apt 11d
New York, NY 10065-6490
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.