Ju Hyung Kim
Specialist/Technologist, Athletic Trainer in Vancouver, WA. Individual provider (NPI-1).
NPI number1851237754
StatusActive
Last updated in NPPESApr 24, 2026
Details
- NPI
- 1851237754
- Entity type
- Individual (NPI-1)
- Name
- Ju Hyung Kim
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 24, 2026
- Certification date
- Apr 24, 2026
- Last updated
- Apr 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 10264150 | OR | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | ATHL.A1.60944716 | WA |
Practice location
2000 E Mill Plain Blvd Apt 122Vancouver, WA 98661-4100
Phone 314-591-2033
Mailing address
2000 E Mill Plain Blvd Apt 122Vancouver, WA 98661-4100
Phone 314-591-2033
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