Individual provider · Type 1 NPI

Susan Kim, CRNP

Pediatric Nurse Practitioner · Dalton, GA

NPI number 1629466826 Active

Practice location

1575 Chattanooga Ave Ste 1
Dalton, GA 30720-2672

Fax (706) 876-2130

Other practice locations

  • 1030 Liberty Rd, Suite 100, Eldersburg, MD 21784-7941 · (410) 549-0900

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XR213300 (MD)

Pediatric Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1629466826

Susan Kim, CRNP's National Provider Identifier is 1629466826, issued on Dec 23, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dalton, GA. The record was last updated on Oct 19, 2026.