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

Individual provider Physician Assistant · NPI 1740095678

Joanna Kim, PHYSICIANASSISTANT is a Physician Assistant in Media, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Clinical Renal Associates LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
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Practice location Address checks out

176 S New Middletown Rd Ste 101
Media, PA 19063-5255
Phone: (610) 872-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA066336 (PA)

Record details

NPI number1740095678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 10, 2025
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Clinical Renal Associates Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Media