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KIM FAMOUS PA
NPI 1457781890
Physician Assistant in Bronx, NY

Active since November 21, 2013
645 MINNIEFORD AVE, BRONX, NY 10464(917) 703-5700 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Famous Pa NPPES

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

KIM FAMOUS PA (NPI 1457781890) is an individual physician assistant in Bronx, New York, licensed in New York (008614-1) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1457781890
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIM FAMOUSCredential: PA
Location Address645 MINNIEFORD AVEBronx, NY 10464-1121
Mailing Address645 Minnieford AveBronx, NY 10464-1121
Phone(917) 703-5700
Sole ProprietorYes
Enumeration DateNovember 21, 2013
✔ NPI 1457781890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 008614-1
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
645 MINNIEFORD AVE, Bronx, NY 10464
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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 Kim Famous's NPI number?

The NPI number for Kim Famous is 1457781890. It was assigned to this individual provider in the NPPES registry on November 21, 2013.

Where is Kim Famous located?

Kim Famous practices at 645 Minnieford Ave, Bronx, NY 10464. The listed phone number is (917) 703-5700.

What is Kim Famous's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kim Famous was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.