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MRS. SUSAN KIM CRNP
NPI 1629466826
Nurse Practitioner - Pediatrics in Eldersburg, MD

Active since December 23, 2014
1030 LIBERTY RD, SUITE 100, ELDERSBURG, MD 21784(410) 549-0900(410) 549-6121 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Susan Kim Crnp NPPES

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

MRS. SUSAN KIM CRNP (NPI 1629466826) is an individual pediatrics provider in Eldersburg, Maryland, licensed in Maryland (R213300) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1629466826
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. SUSAN KIMCredential: CRNP
Location Address1030 LIBERTY RD, SUITE 100Eldersburg, MD 21784-7941
Mailing Address1030 Liberty Rd, Suite 100Eldersburg, MD 21784-7941 · (410) 549-0900 · Fax (410) 549-6121
Phone(410) 549-0900
Fax(410) 549-6121
Sole ProprietorNo
Enumeration DateDecember 23, 2014
✔ NPI 1629466826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MD · R213300
1030 LIBERTY RD, Eldersburg, MD 21784
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Other Providers at the Same Location NPPES 3

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

LORETTA A SCHUELER, DDS, INC
Dentist (Oral and Maxillofacial Surgery)
1030 LIBERTY RD, SUITE 101
ELDERSBURG, MD 21784
Carroll County (410) 552-5230
DR. LORETTA ANN SCHUELER DDS
Dentist (Oral and Maxillofacial Surgery)
1030 LIBERTY RD, SUITE 101
ELDERSBURG, MD 21784
Carroll County (410) 552-5230
LIBERTY PEDIATRICS, LLC
Clinic/Center
1030 LIBERTY RD, SUITE 100
ELDERSBURG, MD 21784
Carroll County (410) 549-0900

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 Susan Kim's NPI number?

The NPI number for Susan Kim is 1629466826. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is Susan Kim located?

Susan Kim practices at 1030 Liberty Rd Suite 100, Eldersburg, MD 21784. The listed phone number is (410) 549-0900.

What is Susan Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Kim was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.