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

Dr. Kirsten S. Kim, MD

Individual provider Family Medicine Physician · NPI 1497017289

Dr. Kirsten S. Kim, MD is a Family Practice in Port Orange, Florida. Qualified in 2012, 14 years ago. Practices with Florida Health Care Plan Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Licensed in
FL
In the registry since
2012
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

870 Dunlawton Ave Ste 311
Port Orange, FL 32127-9274
Phone: (386) 310-4807
Fax: (863) 107-4733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME117574 (FL)

Record details

NPI number1497017289
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2012
Last updated in NPPESMay 11, 2023
Certification dateMay 11, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Florida Health Care Plan Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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