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

Kim Matthews

Individual provider Specialist · NPI 1700277738

Kim Matthews is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

90 Air Park Dr
Ronkonkoma, NY 11779-7360
Phone: (631) 580-4001
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 814320141 (NY)

Record details

NPI number1700277738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2015
Last updated in NPPESFebruary 12, 2015

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