Ethan Kim, MD
NPI 1417742404 · Student in an Organized Health Care Education/Training Program · Thomasville, GA
Ethan Kim, MD is a Student in an Organized Health Care Education/Training Program provider in Thomasville, GA (NPI 1417742404).
Provider details
- NPI number
- 1417742404
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2025-04-11
- Certified
- 2025-04-11
Frequently asked questions
- What is Ethan Kim's NPI number?
- Ethan Kim's National Provider Identifier (NPI) is 1417742404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Kim's specialty?
- Ethan Kim is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ethan Kim located?
- Ethan Kim's practice location on file with NPPES is 915 Gordon Ave, Thomasville, GA 31792-6699.
- What is Ethan Kim's phone number?
- The practice phone number listed in the NPPES registry for Ethan Kim is (229) 551-2576.
- Is Ethan Kim's NPI active?
- Yes — Ethan Kim's NPI (1417742404) is active in the NPPES registry as of the last update on 2025-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.