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NPI 1851612170 · live from the CMS NPI Registry

Jiyoon Kim, D.O.

Radiology, Diagnostic Radiology in Apo, AP. National Provider Identifier 1851612170, active.

NPI record

NPI1851612170 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice locationMeddac-K 121 Csh Unit 15244, Apo, AP
Practice phone101-260-1959
Mailing addressWramc Bldg 2 Rm 2g01, 6900 Georgia Ave, Nw, Washington, DC 20307
EnumeratedJune 22, 2010
Last updatedAugust 11, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202XOS019354 (PA)
Radiology, Diagnostic Radiology2085R0202X1025529 (MA)
Student in an Organized Health Care Education/Training Program390200000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.