JENNA KIM

Physician Assistant

Active Individual
NPI: 1730990417

Practice Address

101 HOSPITAL RD
Patchogue, NY 11772

Phone: (631) 654-7100

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1730990417 is the National Provider Identifier for JENNA KIM, a Physician Assistant provider located in Patchogue, NY. This NPI was enumerated on January 14, 2025.
JENNA KIM practices at 101 HOSPITAL RD, Patchogue, NY 11772.

Quick Facts

NPI
1730990417
Type
Individual
Enumerated
Jan 14, 2025
Last Updated
Mar 12, 2025

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