Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER WILEY KIM
ActiveAthletic Trainer · DALY CITY, CA
Registration Details
- NPI Number
- 1457600884
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2012 (13.644318222758 yrs)
- Last Updated
- Aug 30, 2012
- License
-
12866 (CA)
Practice Information
- Address
-
1900 SULLIVAN AVEDALY CITY, CA, 940152200Browse CA providers · Browse ZIP 94015
- Phone
- 6509916763
- Primary Specialty
-
Athletic Trainer
225500000X
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.