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MR. HEESUNG SEAN KIM PA-C
NPI 1720214919
Physician Assistant - Medical in Salisbury, MD

Active since June 02, 2009
106 PINE BLUFF RD STE 11, SALISBURY, MD 21801(410) 742-0770(410) 742-2589 Get Directions Write a Review

NPPES record last updated: June 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Heesung Sean Kim Pa-c NPPES

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

MR. HEESUNG SEAN KIM PA-C (NPI 1720214919) is an individual medical provider in Salisbury, Maryland, licensed in Maryland (C0003939) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1720214919
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. HEESUNG SEAN KIMCredential: PA-C
Location Address106 PINE BLUFF RD STE 11Salisbury, MD 21801-7161
Mailing Address106 Pine Bluff Rd Ste 11Salisbury, MD 21801-7161 · (410) 742-0770 · Fax (410) 742-2589
Phone(410) 742-0770
Fax(410) 742-2589
Sole ProprietorYes
Enumeration DateJune 2, 2009
✔ NPI 1720214919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0003939
106 PINE BLUFF RD STE 11, Salisbury, MD 21801
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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 Heesung Kim's NPI number?

The NPI number for Heesung Kim is 1720214919. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Heesung Kim located?

Heesung Kim practices at 106 Pine Bluff Rd Ste 11, Salisbury, MD 21801. The listed phone number is (410) 742-0770.

What is Heesung Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Heesung Kim was last updated on June 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.