Individual provider · Type 1 NPI

Peter Kim, MD

Pediatric Surgery Physician · Providence, RI

NPI number 1669754925 Active

Practice location

2 Dudley St Ste 190
Providence, RI 02905-3248

Call (401) 553-8341 Map

Fax (401) 868-2319

Mailing address

PO Box 16149
Rumford, RI 02916-0697

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD039738 (DC)
Pediatric Surgery Physician Primary 2086S0120XMD16869 (RI)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

9 other providers at this address

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About NPI 1669754925

Peter Kim, MD's National Provider Identifier is 1669754925, issued on Sep 13, 2011. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Providence, RI. The record was last updated on Feb 5, 2020.