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Contact Information

JONG D KIM, MD
640 JACKSON ST
SAINT PAUL, MN55101-2502
 Phone: 651-254-2987
 Fax: 651-254-1603
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JONG D KIM · (Male)

NPI Number 1679548036
Status Active
Credentials MD
Entity Individual
Enumeration date 02/21/2006
Last updated 03/03/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 47957
  • MN Medicaid 141600600
Hospital affiliation(s)
  • BUFFALO HOSPITAL - (Acute Care)
    303 CATLIN ST
    BUFFALO, MN 55313
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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