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

Dr. Sungwan Kim, PHD, ATC

Individual provider Athletic Trainer · NPI 1306474978

Dr. Sungwan Kim, PHD, ATC is an Athletic Trainer in Waltham, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

80 Hope Ave Apt 317
Waltham, MA 02453-2745
Phone: (774) 257-3686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1306474978
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , ATC
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESJune 1, 2025
Certification dateJune 1, 2025

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