ANNETTE KIM
NPI 1609561356
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Annette Kim's NPI number?

The NPI number for Annette Kim is 1609561356. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Annette Kim's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Annette Kim was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 10, 2023PECOS Enrolled

833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107(215) 955-8420(215) 503-0429 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Annette Kim NPPES

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

ANNETTE KIM (NPI 1609561356) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609561356

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANNETTE KIM

Location Address833 CHESTNUT ST STE 210Philadelphia, PA 19107-4405

Mailing Address833 Chestnut St Ste 210Philadelphia, PA 19107-4405 · (215) 955-6864 · Fax (215) 503-6116

Phone(215) 955-8420

Fax(215) 503-0429

Sole ProprietorNo

Enumeration DateApril 10, 2023

NPPES CertifiedApril 8, 2023

✔ NPI 1609561356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST STE 210, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ERIC GRAMSZLO

Student in an Organized Health Care Education/Training Program