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

Lisa M Kim M D Inc

Organization Primary Care Clinic/Center · NPI 1457660110

Lisa M Kim M D Inc is a Primary Care Clinic/Center in Ellicott City, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3355 Rogers Ave
Ellicott City, MD 21043-4105
Phone: (410) 480-5195
Fax: (410) 480-5197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence D52479 (MD)

Record details

NPI number1457660110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Kim — Owner · (410) 480-5195
NPI enumeratedSeptember 29, 2010
Last updated in NPPESSeptember 29, 2010
Mailing address3355 Rogers Ave, Ellicott City, MD 21043-4105

Other providers in Ellicott City