Dr. Kirsten S. Kim, M.D.
Family Medicine in Port Orange, FL. Individual provider (NPI-1).
NPI number1497017289
StatusActive
Last updated in NPPESMay 11, 2023
Details
- NPI
- 1497017289
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kirsten S. Kim
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2012
- Certification date
- May 11, 2023
- Last updated
- May 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME117574 | FL | Yes |
Practice location
870 Dunlawton Ave Ste 311Port Orange, FL 32127-9274
Phone 386-310-4807 · Fax 863-107-4733
Mailing address
870 Dunlawton Ave Ste 311Port Orange, FL 32127-9274
Phone 386-310-4807 · Fax 386-310-7473
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All 52 Family Medicine Physician providers in Port Orange · All 1,907 providers in Port Orange
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