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General NPI Number Information
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NPI Number | 1962021758
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Entity Type | Individual
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Provider Name | JENNY JINA KIM MD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2020
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 5040 FOREST DR STE 240
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City | NEW ALBANY
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State | OH
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Zip | 43054-8166
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Country | US
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Telephone | 740-653-2500
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Fax | 740-653-2552
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Provider Business Mailing Address
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Address Line | 7951 SHOAL CREEK BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78757-7582
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Country | US
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Telephone | 512-584-8404
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Fax | 737-377-0442
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 35.152913
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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