NPI 1013713577

Ji Won Kim

Practitioner Dentist Methuen, MA

Practice location

Address: 100 Milk St STE 120, Methuen, MA 01844-4600
Phone: (978) 688-4441

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN10001446 (MA)

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Registry record

NPI: 1013713577
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Feb 2025
Record last updated: 30 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.