MS. KELLY KIM
NPI 1235988791
Nurse Practitioner - Family in Suwanee, GA
About Ms. Kelly Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY KIM (NPI 1235988791) is an individual family provider in Suwanee, Georgia, licensed in Georgia (RN223517) and active in the NPI registry since May 2024.
NPPES Registry Identity
Specialties & Licenses
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 Kelly Kim's NPI number?
The NPI number for Kelly Kim is 1235988791. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Kelly Kim located?
Kelly Kim practices at 909 Biscayne Way, Suwanee, GA 30024. The listed phone number is (714) 469-3554.
What is Kelly Kim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Kelly Kim was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ms. Kelly Kim · NPI 1235988791
Family physician in Suwanee, Georgia. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1235988791 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN223517 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 909 BISCAYNE WAY, Suwanee, GA 30024-4012
- **Phone:** (714) 469-3554
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235988791) · Data from the CMS NPPES public registry.