Individual provider · Type 1 NPI

Mina Kim, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1023977063 Active

Practice location

51 N 39th St Bldg 201
Philadelphia, PA 19104-2640

Call (215) 662-9775 Map

Mailing address

407 Regina St
Philadelphia, PA 19116-2404

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA067605 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1023977063

Mina Kim, PA-C's National Provider Identifier is 1023977063, issued on Jan 16, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 3, 2026.