NPI 1023742756

Jiyeon Kim, NP

Practitioner Nurse Practitioner Holt, MI

Practice location

Address: 2380 Cedar St STE 100, Holt, MI 48842-2210
Phone: (517) 742-4900
Mailing address: 1270 Garden City Rd APT 455, East Lansing, MI 48823-6045

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 4704383913 (MI)

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Registry record

NPI: 1023742756
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2022
Record last updated: 30 Oct 2025

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.