Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ji Su Kim, CRNA, DNP

Individual provider Certified Registered Nurse Anesthetist · NPI 1487216198

Dr. Ji Su Kim, CRNA, DNP is a Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Cooper Anesthesia Associates PC, a 236-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 349-8310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN686649 (PA)

Record details

NPI number1487216198
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA , DNP
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESSeptember 9, 2019

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cooper Anesthesia Associates Pc — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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