IndividualActive
Jason Kim, MD
NPI 1376733873 · Vascular Surgery Physician · Raleigh, NC
Provider details
- NPI number
- 1376733873
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012-02076 (NC)
Practice location
4414 Lake Boone Trl
Raleigh, NC 27607-7513
Phone: (919) 784-2300
Fax: (919) 784-2301
Mailing address
4414 Lake Boone Trl Ste 505
Raleigh, NC 27607-7521
Registry dates
- Enumerated
- 2007-07-31
- Last updated
- 2021-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.