IndividualActive
Jae Kim
NPI 1699510735 · General Practice Registered Nurse · Baltimore, MD
Provider details
- NPI number
- 1699510735
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- R222631 (MD)
Specialties & taxonomies
Nursing Service Providers
Practice location
655 W Lombard St
Baltimore, MD 21201-1512
Phone: (410) 706-0501
Approximate (ZIP-level) locationGet directions
Mailing address
655 W Lombard St
Baltimore, MD 21201-1512
Registry dates
- Enumerated
- 2024-06-29
- Last updated
- 2024-06-29
- Certified
- 2024-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.