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MINA KIM PA-C
NPI 1023977063
Physician Assistant - Medical in Philadelphia, PA

Active since January 16, 2026
51 N 39TH ST BLDG 201, PHILADELPHIA, PA 19104(215) 662-9775 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Jan 16, 2026 (2 updates tracked since 2026).

About Mina Kim Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINA KIM PA-C (NPI 1023977063) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA067605) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1023977063
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMINA KIMCredential: PA-C
Location Address51 N 39TH ST BLDG 201Philadelphia, PA 19104-2640
Mailing Address407 Regina StPhiladelphia, PA 19116-2404 · (215) 992-4198
Phone(215) 662-9775
Sole ProprietorNo
Enumeration DateJanuary 16, 2026
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1023977063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA067605
51 N 39TH ST BLDG 201, Philadelphia, PA 19104
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Kim's NPI number?

The NPI number for Mina Kim is 1023977063. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Mina Kim located?

Mina Kim practices at 51 N 39th St Bldg 201, Philadelphia, PA 19104. The listed phone number is (215) 662-9775.

What is Mina Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Mina Kim was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.