Individual provider · Type 1 NPI

Su Yeon Kim, MD

Student in an Organized Health Care Education/Training Program · Poughkeepsie, NY

NPI number 1679417448 Active

Practice location

45 Reade Place
Poughkeepsie, NY 12601-3990

Call (845) 790-1317 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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 1679417448

Su Yeon Kim, MD's National Provider Identifier is 1679417448, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Aug 12, 2026.