SONG MIN KIM PA
NPI 1831613157
Physician Assistant in Charlotte, NC

Q: What is Song Min Kim's NPI number?

The NPI number for Song Min Kim is 1831613157. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Q: What is Song Min Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Song Min Kim was last updated on September 15, 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.

Active since July 28, 2017

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2171 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2021, Sep 9, 2021, Mar 29, 2021 and 45 more (48 updates tracked since 2017).

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About Song Min Kim Pa NPPES

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

SONG MIN KIM PA (NPI 1831613157) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-07591) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1831613157

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSONG MIN KIMCredential: PA

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(704) 355-2171

Sole ProprietorNo

Enumeration DateJuly 28, 2017

Last NPPES UpdateSeptember 15, 202148 updates tracked since enumeration

✔ NPI 1831613157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-07591

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1000 BLYTHE BLVD, Charlotte, NC 28203

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