KELLY KIM
Physician Assistant
Active
Individual
NPI: 1366309080
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1366309080 is the National Provider Identifier for KELLY KIM, a Physician Assistant provider located in Brooklyn, NY. This NPI was enumerated on January 6, 2026.
KELLY KIM practices at 760 BROADWAY, Brooklyn, NY 11206.
Quick Facts
- NPI
- 1366309080
- Type
- Individual
- Enumerated
- Jan 6, 2026
- Last Updated
- Jan 6, 2026
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