Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kirsten Kim MD PA

Organization Family Medicine Physician · NPI 1124699095

Kirsten Kim MD PA is a Family Medicine Physician in Port Orange, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

870 Dunlawton Ave Ste 311
Port Orange, FL 32127-9274
Phone: (386) 310-4807
Fax: (386) 310-7473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124699095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirsten Kim — Owner · (386) 310-4807
NPI enumeratedJuly 1, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address870 Dunlawton Ave Ste 311, Port Orange, FL 32127-9274

Other providers in Port Orange