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

Kelly Kim

Individual provider Physician Assistant · NPI 1366309080

Kelly Kim is a Physician Assistant in Brooklyn, New York. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

760 Broadway
Brooklyn, NY 11206-5317
Phone: (718) 963-8000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1366309080
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2026
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

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