Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KISUNG KIM, BM
ActiveKISUNG KIM, BM is a Adolescent Medicine (Pediatrics) healthcare provider located in RED BLUFF, California. NPI 1073939815 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · RED BLUFF, CA
Registration Details
- NPI Number
- 1073939815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2014 (12.456923665123 yrs)
- Last Updated
- Apr 3, 2019
- License
-
A141207 (CA)
Practice Information
- Address
-
2450 SISTER MARY COLUMBA DRRED BLUFF, CA, 960804356Browse CA providers · Browse ZIP 96080
- Phone
- 5305270414
- Fax
- 5305273720
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
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.