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

Dr. Katelyn Mariko Kim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487159596

Dr. Katelyn Mariko Kim, MD is a Dermatology in Cary, North Carolina. Qualified in 2018, 8 years ago. Practices with Central Dermatology Center PA, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
Specialties on file
2
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

110 Preston Executive Dr Ste 100
Cary, NC 27513-8447
Phone: (919) 653-1344
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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 2022-02027 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487159596
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2018
Last updated in NPPESOctober 29, 2023
Certification dateOctober 29, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Central Dermatology Center Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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