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

Dong Kim, MD

Individual provider Dermatology Physician · NPI 1043666274

Dong Kim, MD is a Dermatology in Fargo, North Dakota. Qualified in 2016, 10 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
10
Licensed in
MN, ND
In the registry since
2016
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1702 University Dr S
Fargo, ND 58103-4940
Phone: (701) 364-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 16544 (ND)
Dermatology Physician Taxonomy 207N00000X · Licence 67131 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043666274
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2016
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address1702 University Dr S, Fargo, ND 58103-4940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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