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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM FAMOUS, PA

Active Sole Proprietor

KIM FAMOUS, PA is a Physician Assistant healthcare provider located in BRONX, New York. NPI 1457781890 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BRONX, NY

Registration Details

NPI Number
1457781890
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2013 (12.548031441603 yrs)
Last Updated
Nov 21, 2013
License
008614-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
645 MINNIEFORD AVE
BRONX, NY, 104641121
Browse NY providers · Browse ZIP 10464
Phone
9177035700
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BRONX, NY

Name Credential NPI
JENNIFER C. VINCENT P.A. 1912902701
CARLOS M GONZALEZ PA 1497752711
MS. CLAUDIA L CHANG PA-C 1528067964
HALE I PERLMUTTER RPAC 1417942202
BRIDGET BAKER PA-C 1902897333
CHARLENE CRUZ-ROBERTSON PA 1629041652
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.