Individual provider · Type 1 NPI
Alisa Chung-A Kim, MS, DO
Student in an Organized Health Care Education/Training Program · Darby, PA
NPI number
1134063787
Active
Practice location
1500 Lansdowne Ave
Darby, PA 19023-1200
Mailing address
105 Longleat Dr
North Wales, PA 19454-4215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1134063787
Alisa Chung-A Kim, MS, DO's National Provider Identifier is 1134063787, issued on Apr 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Darby, PA. The record was last updated on Apr 15, 2026.