Individual provider · Type 1 NPI

Michele Kim, C.PED

Pedorthist · Fort Lee, NJ

NPI number 1356196281 Active

Practice location

1402 Bergen Blvd
Fort Lee, NJ 07024-2116

Specialties and licenses

TaxonomyCodeLicense
Pedorthist Primary 224L00000XCPED4638 (NJ)

Pedorthist: An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

About NPI 1356196281

Michele Kim, C.PED's National Provider Identifier is 1356196281, issued on Apr 23, 2024. The primary taxonomy on file is Pedorthist (224L00000X), and the practice location is in Fort Lee, NJ. The record was last updated on Apr 23, 2024.