KRISTY KIM
NPI 1104102755
Licensed Practical Nurse in Fresh Meadows, NY

Q: What is Kristy Kim's NPI number?

The NPI number for Kristy Kim is 1104102755. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Q: What is Kristy Kim's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristy Kim was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since October 27, 2011

7554 197TH ST, 2FL, FRESH MEADOWS, NY 11366(917) 574-6303 Get Directions Write a Review

NPPES record last updated: October 27, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kristy Kim NPPES

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

KRISTY KIM (NPI 1104102755) is an individual licensed practical nurse in Fresh Meadows, New York, licensed in New York (306965) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1104102755

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKRISTY KIM

Location Address7554 197TH ST, 2FLFresh Meadows, NY 11366-1817

Mailing Address7554 197th St, 2 FlFresh Meadows, NY 11366-1817 · (917) 574-6303

Phone(917) 574-6303

Sole ProprietorYes

Enumeration DateOctober 27, 2011

✔ NPI 1104102755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 306965

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

7554 197TH ST, Fresh Meadows, NY 11366

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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 Kristy Kim's NPI number?

The NPI number for Kristy Kim is 1104102755. It was assigned to this individual provider in the NPPES registry on October 27, 2011.

Where is Kristy Kim located?

Kristy Kim practices at 7554 197th St 2fl, Fresh Meadows, NY 11366. The listed phone number is (917) 574-6303.

What is Kristy Kim's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kristy Kim was last updated on October 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.