MS. KYUNGHEE KIM MA
NPI 1972905651
Counselor - Mental Health in Dorchester, MA
Active since September 24, 2014
About Ms. Kyunghee Kim Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KYUNGHEE KIM MA (NPI 1972905651) is an individual mental health provider in Dorchester, Massachusetts and active in the NPI registry since September 2014. She maintains a secondary practice location in Mansfield.
NPPES Registry Identity
NPI1972905651
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. KYUNGHEE KIMCredential: MA
Location Address35 MCKONE ST APT 1Dorchester, MA 02122
Mailing Address792 West St, Apt F206Mansfield, MA 02048-1184 · (617) 639-6730
Phone(617) 412-9620
Sole ProprietorYes
Enumeration DateSeptember 24, 2014
Last NPPES UpdateJune 18, 2018
✔ NPI 1972905651 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
35 MCKONE ST APT 1, Dorchester, MA 02122
Other Names 1
Professional Name (2)Ms. Kelly Kim Ma
Secondary Practice Location 1
Location 1792 West St, Apt F206Mansfield, MA 02048-1184 · Phone (617) 639-6730
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972905651, enumerated as an "individual" on September 24, 2014.
The provider is located at 35 MCKONE ST APT 1 DORCHESTER, MA 02122 and the phone number is (617) 412-9620.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
