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KATIE LAUREN KIM PA-C
NPI 1922624865
Physician Assistant - Surgical in Huntsville, AL

Active since June 16, 2020PECOS Enrolled
4810 WHITESPORT CIR SW STE 110, HUNTSVILLE, AL 35801(205) 977-9876 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Lauren Kim Pa-c NPPES

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

KATIE LAUREN KIM PA-C (NPI 1922624865) is an individual surgical provider in Huntsville, Alabama, licensed in Alabama (PA.1575) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922624865
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKATIE LAUREN KIMCredential: PA-C
Location Address4810 WHITESPORT CIR SW STE 110Huntsville, AL 35801-7439
Mailing Address1940 Stonegate Dr Ste 130Vestavia Hls, AL 35242-2541 · (205) 977-9876
Phone(205) 977-9876
Sole ProprietorNo
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1922624865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AL · PA.1575
4810 WHITESPORT CIR SW STE 110, Huntsville, AL 35801
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Other Names 1

Former Name (1)Katie Kohlenberg

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lauren Kim Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

AMBER HARRISON CRNP
Nurse Practitioner (Family)
4810 WHITESPORT CIR SW STE 110
HUNTSVILLE, AL 35801
Madison County (205) 977-9876
MRS. EMILY CLAIRE JONES CRNP
Dermatology
4810 WHITESPORT CIR SW STE 110
HUNTSVILLE, AL 35801
Madison County (256) 715-5300
ALEXANDRIA WALLACE
Nurse Practitioner (Family)
4810 WHITESPORT CIR SW STE 110
HUNTSVILLE, AL 35801
Madison County (205) 977-9876

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 Katie Kim's NPI number?

The NPI number for Katie Kim is 1922624865. It was assigned to this individual provider in the NPPES registry on June 16, 2020. The provider is also known as Katie Kohlenberg.

Where is Katie Kim located?

Katie Kim practices at 4810 Whitesport Cir SW Ste 110, Huntsville, AL 35801. The listed phone number is (205) 977-9876.

What is Katie Kim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Katie Kim enrolled in Medicare?

Yes. Katie Kim is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katie Kim was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.