Individual provider · Type 1 NPI
Kwangsu Kim, DPM
Podiatrist · Bayside, NY
NPI number
1104095744
Active
Practice location
21909 Northern Blvd
Bayside, NY 11361-3525
Fax (866) 668-7533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | N006264-01 (NY) |
Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Another provider at this address
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About NPI 1104095744
Kwangsu Kim, DPM's National Provider Identifier is 1104095744, issued on Feb 28, 2008. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Bayside, NY. The record was last updated on Oct 29, 2025.