Dr. Jennifer Megan Kim, M.D.

Pediatrics in St Petersburg, FL. Individual provider (NPI-1).

NPI number1114189552

StatusActive

Last updated in NPPESApr 2, 2013

Details

NPI: 1114189552
Entity type: Individual (NPI-1)
Name: Dr. Jennifer Megan Kim
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Jun 26, 2008
Last updated: Apr 2, 2013

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208000000X	Pediatrics	ME109986	FL	Yes

Practice location

5601 9th St N
St Petersburg, FL 33703-1205

Phone 727-525-2161 · Fax 727-527-1968

Mailing address

5601 9th St N
St Petersburg, FL 33703-1205

Phone 727-525-2161 · Fax 727-527-1968

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatrics Physician providers in St Petersburg, FL

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