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KIRSTEN KIM MD PA
NPI 1124699095
Family Medicine in Port Orange, FL

Active since July 01, 2021
870 DUNLAWTON AVE STE 311, PORT ORANGE, FL 32127(386) 310-4807(386) 310-7473 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2021, Aug 27, 2021, Jul 1, 2021 (3 updates tracked since 2021).

About Kirsten Kim Md Pa NPPES

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

KIRSTEN KIM MD PA (NPI 1124699095) is a healthcare organization registered as a family medicine in Port Orange, Florida and active in the NPI registry since July 2021. The organization lists Kirsten Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1124699095
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKIRSTEN KIM MD PA
Location Address870 DUNLAWTON AVE STE 311Port Orange, FL 32127-9274
Mailing Address870 Dunlawton Ave Ste 311Port Orange, FL 32127-9274 · (386) 310-4807
Phone(386) 310-4807
Fax(386) 310-7473
Organization SubpartNo
Authorized OfficialKirsten KimOwner · (386) 310-4807
Enumeration DateJuly 1, 2021
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1124699095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
870 DUNLAWTON AVE STE 311, Port Orange, FL 32127
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIRSTEN S. KIM M.D.
Family Medicine
870 DUNLAWTON AVE STE 311
PORT ORANGE, FL 32127
Volusia County (386) 310-4807

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 Kirsten Kim MD PA's NPI number?

The NPI number for Kirsten Kim MD PA is 1124699095. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Kirsten Kim MD PA located?

Kirsten Kim MD PA is located at 870 Dunlawton Ave Ste 311, Port Orange, FL 32127. The listed phone number is (386) 310-4807.

What is Kirsten Kim MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kirsten Kim MD PA was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.