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

Autumn Kim

Individual provider Dermatology Physician · NPI 1215721030

Autumn Kim is a Dermatology Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
Specialties on file
3

Practice location Address checks out

10 E 102nd St
New York, NY 10029-0307
Phone: (212) 241-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence 111111 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 1111111 (NY)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 111111 (NY)

Record details

NPI number1215721030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025

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