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KYU-JIN KIM M.D.
NPI 1215289491
General Practice in Manlius, NY

Active since October 11, 2012
7575 FIREBIRD LANE, MANLIUS, NY 13104(315) 682-7185 Get Directions Write a Review

NPPES record last updated: October 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kyu-jin Kim M.d. NPPES

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

KYU-JIN KIM M.D. (NPI 1215289491) is an individual general practice provider in Manlius, New York, licensed in New York (123715) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1215289491
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKYU-JIN KIMCredential: M.D.
Location Address7575 FIREBIRD LANEManlius, NY 13104-9334
Mailing Address7575 Firebird LaneManlius, NY 13104 · (315) 682-7185
Phone(315) 682-7185
Sole ProprietorYes
Enumeration DateOctober 11, 2012
✔ NPI 1215289491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 123715
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7575 FIREBIRD LANE, Manlius, NY 13104
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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 Kyu-jin Kim's NPI number?

The NPI number for Kyu-jin Kim is 1215289491. It was assigned to this individual provider in the NPPES registry on October 11, 2012.

Where is Kyu-jin Kim located?

Kyu-jin Kim practices at 7575 Firebird Lane, Manlius, NY 13104. The listed phone number is (315) 682-7185.

What is Kyu-jin Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kyu-jin Kim was last updated on October 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.