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SOO KYUNG KIM
NPI 1700558731
Nurse Practitioner - Adult Health in Palo Alto, CA

Active since September 28, 2021
3801 MIRANDA AVE, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Soo Kyung Kim NPPES

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

SOO KYUNG KIM (NPI 1700558731) is an individual adult health provider in Palo Alto, California, licensed in California (NP95018400) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1700558731
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSOO KYUNG KIM
Location Address3801 MIRANDA AVEPalo Alto, CA 94304-1207
Mailing Address29 Arroyo View CirBelmont, CA 94002-3183 · (415) 516-3369
Phone(650) 493-5000
Sole ProprietorNo
Enumeration DateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1700558731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · NP95018400
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License NP95018400 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License NP95018400 (CA)
3801 MIRANDA AVE, Palo Alto, CA 94304
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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.

DR. LAURA ELIZABETH STODDARD PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
DR. KEVIN MCKENNA PH.D.
Psychologist (Clinical)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
VALLANCE WA-LUN AU-YEUNG PHARMD
Pharmacist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
ARLENE VICENTE-VELASCO
Registered Nurse
3801 MIRANDA AVE
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MAHNOOSH KUHBANANI SEIFODDINI M.D.
Internal Medicine
3801 MIRANDA AVE, VA PALO ALTO HEALTH CARE SYSTEM (111STC)
PALO ALTO, CA 94304
Santa Clara County (209) 946-3400
DR. EDWARD LEE COHEN MD
Obstetrics & Gynecology
3801 MIRANDA AVE, #112
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MRS. JEAN JONES GURGA OTR/L
Occupational Therapist
3801 MIRANDA AVE, PMRS (117)
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000
MS. ELLEN WHITE FORD LCSW, MSW, MPH
Social Worker (Clinical)
3801 MIRANDA AVE, VAPAHCS SOCIAL WORK SERVICE, 122 PA
PALO ALTO, CA 94304
Santa Clara County (650) 493-5000

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 Soo Kyung Kim's NPI number?

The NPI number for Soo Kyung Kim is 1700558731. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Where is Soo Kyung Kim located?

Soo Kyung Kim practices at 3801 Miranda Ave, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Soo Kyung Kim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Soo Kyung Kim was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.