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

Kim Famous, PA

Individual provider Physician Assistant · NPI 1457781890

Kim Famous, PA is a Physician Assistant in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

645 Minnieford Ave
Bronx, NY 10464-1121
Phone: (917) 703-5700
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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 008614-1 (NY)

Record details

NPI number1457781890
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 21, 2013
Last updated in NPPESNovember 21, 2013

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