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

Jisun Kim

Individual provider Medical Physician Assistant · NPI 1427562495

Jisun Kim is a Medical Physician Assistant in Bronx, New York. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-4321
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1427562495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 28, 2017
Last updated in NPPESNovember 28, 2017

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