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

Kaitlin Kim

Individual provider Physician Assistant · NPI 1790314102

Kaitlin Kim is a Physician Assistant in Baltimore, Maryland. Qualified in 2021, 5 years ago. Practices with University of Maryland Surgical Associates PA, a 98-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

22 S Greene St
Baltimore, MD 21201-1544
Phone: (667) 214-1718
Fax: (410) 706-6976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 Saint Paul St, Baltimore, MD 21202 — (410) 332-9294

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C08417 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C0008417 (MD)

Record details

NPI number1790314102
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Maryland Surgical Associates Pa — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Baltimore