Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL KIM, MD
ActiveMITCHELL KIM, MD is a Sports Medicine healthcare provider located in EATONTOWN, New Jersey. NPI 1144752122 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · EATONTOWN, NJ
Registration Details
- NPI Number
- 1144752122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2017 (9.3311559773519 yrs)
- Last Updated
- Mar 3, 2022
- Licenses
-
25MA11030700 (NJ)25MA11030700 (NJ)
Practice Information
- Address
-
145 WYCKOFF RD STE 301EATONTOWN, NJ, 077241887Browse NJ providers · Browse ZIP 07724
- Phone
- 8482085250
- Fax
- 7329351590
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
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.