{"npi":"1275914665","type":"NPI-1","status":"active","name":{"display":"Dr. Stephanie Kim MD","other":[],"first":"STEPHANIE","last":"KIM","middle":"HEWON","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0204X","primary_taxonomy_description":"Vascular & Interventional Radiology Physician","slug":"vascular-interventional-radiology-physician","schema_org_specialty":null,"all":[{"code":"2085R0204X","description":"Vascular & Interventional Radiology Physician","primary":true,"state":"MO","license":"2023049266"}]},"addresses":[{"purpose":"LOCATION","street_1":"510 S KINGSHIGHWAY BLVD","city":"SAINT LOUIS","state":"MO","postal_code":"631101016","country_code":"US","street_2":"DEPT RADIOLOGY","phone":"3143627200","fax":"3147474189"},{"purpose":"MAILING","street_1":"PO BOX 7412011","city":"CHICAGO","state":"IL","postal_code":"606742011","country_code":"US","phone":"3143627200","fax":"3147474189"}],"license":{"state":"MO","number":"2023049266"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200147030","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210706003499","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"OH","pac_id":"3971804824"},{"enrlmt_id":"I20240301001868","type_code":"14-94","type_desc":"PRACTITIONER - INTERVENTIONAL RADIOLOGY","state":"MO","pac_id":"3971804824"}]},"enumeration_date":"2015-06-11","last_updated":"2025-04-17","_meta":{"source":"NPPES","snapshot_date":"2025-04-17","doc_url":"https://findmynpi.com/api"}}