DR. KYOUNG-SOON KIM MD
NPI 1760473276
Pediatrics in Kennesaw, GA

Q: What is Kyoung-soon Kim's NPI number?

The NPI number for Kyoung-soon Kim is 1760473276. It was assigned to this individual provider in the NPPES registry on November 3, 2005. The provider is also known as Dr. Bob Kim M.D..

Q: What is Kyoung-soon Kim's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kyoung-soon Kim was last updated on August 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 03, 2005

1770 DENNIS KEMP LN NW, KENNESAW, GA 30152(770) 515-9000(678) 813-3355 Get Directions Write a Review

NPPES record last updated: August 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kyoung-soon Kim Md NPPES

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

DR. KYOUNG-SOON KIM MD (NPI 1760473276) is an individual pediatrics provider in Kennesaw, Georgia, licensed in Georgia (039144) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1760473276

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. KYOUNG-SOON KIMCredential: MD

Location Address1770 DENNIS KEMP LN NWKennesaw, GA 30152-3938

Mailing Address1770 Dennis Kemp Ln NwKennesaw, GA 30152-3938 · (770) 515-9000 · Fax (678) 813-3355

Phone(770) 515-9000

Fax(678) 813-3355

Sole ProprietorYes

Enumeration DateNovember 3, 2005

Last NPPES UpdateAugust 23, 2016

✔ NPI 1760473276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 039144

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1770 DENNIS KEMP LN NW, Kennesaw, GA 30152

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Other Names 1

Other Name (5)Dr. Bob Kim M.d.

Other Providers at the Same Location NPPES 7

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

MS. TANYA S WILCOX NP

Nurse Practitioner (Pediatrics)