Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN KIM, MD
ActiveETHAN KIM, MD is a Student (Health Education/Training) healthcare provider located in THOMASVILLE, Georgia. NPI 1417742404 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · THOMASVILLE, GA
Registration Details
- NPI Number
- 1417742404
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2025 (1.3142646022785 yrs)
- Last Updated
- Apr 11, 2025
Practice Information
- Address
-
915 GORDON AVETHOMASVILLE, GA, 317926699Browse GA providers · Browse ZIP 31792
- Phone
- 2295512576
- Fax
- 2295847154
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in THOMASVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| CASSIE SOO JACOBS | MD | 1902145907 |
| MS. XAVIA TAYLOR | D.O. | 1518657618 |
| DAVID FRAZIER NOVAK | MD | 1306536412 |
| JULIA PATTERSON | DO | 1770273799 |
| DR. RICHARD CRAMPAH EWOODZIE | MD | 1326738162 |
| DR. COURTNEY D. JACKSON | MD | 1174202832 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.