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

Kevin Hyungwoo Kim, MD/PHD

Individual provider Dermatology Physician · NPI 1063755734

Kevin Hyungwoo Kim, MD/PHD is a Dermatology in San Rafael, California. Graduated from University of Arkansas College of Medicine in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Trained at
University of Arkansas College of Medicine
Licensed in
CA
In the registry since
2013
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Practice location Address checks out

99 Montecillo Rd
San Rafael, CA 94903-3308
Phone: (415) 444-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A152384 (CA)

Record details

NPI number1063755734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorYes
NPI enumeratedApril 1, 2013
Last updated in NPPESFebruary 11, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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