Individual provider · Type 1 NPI
Kelly Christine Kim
Acute Care Nurse Practitioner · New York, NY
NPI number
1124770078
Active
Practice location
550 1st Ave
New York, NY 10016-6402
Mailing address
50 Lakeview Ave
West Harrison, NY 10604-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 432249 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1124770078
Kelly Christine Kim's National Provider Identifier is 1124770078, issued on Jan 21, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in New York, NY. The record was last updated on Jan 6, 2026.