NPI 1699510735 · live from the CMS NPI Registry
Jae Hyeon Kim
Registered Nurse, General Practice in Baltimore, MD. National Provider Identifier 1699510735, active.
NPI record
| NPI | 1699510735 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 655 W Lombard St, Baltimore, MD 21201 |
| Practice phone | 410-706-0501 |
| Mailing address | 6201 Greenleigh Ave, Middle River, MD 21220 |
| Enumerated | June 29, 2024 |
| Last updated | September 17, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R222631 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.