Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN KIM, MS, RD, CNSC
Active Sole ProprietorSUSAN KIM, MS, RD, CNSC is a Registered Dietitian healthcare provider located in SACKETS HARBOR, New York. NPI 1861893000 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · SACKETS HARBOR, NY
Registration Details
- NPI Number
- 1861893000
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2014 (11.967995893103 yrs)
- Last Updated
- Jul 21, 2022
- License
-
1105343 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21011 STORRS RDSACKETS HARBOR, NY, 136853172Browse NY providers · Browse ZIP 13685
- Phone
- 7207716691
- Fax
- 7207716691
- Primary Specialty
-
Registered Dietitian
133V00000X
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.