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

Kimberly Ann Kim

Individual provider Physician Assistant · NPI 1669162897

Kimberly Ann Kim is a Physician Assistant in Gainesville, Florida. Qualified in 2025, 1 year ago. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

6440 W Newberry Rd Ste 102
Gainesville, FL 32605-4368
Phone: (352) 333-5610
Fax: (352) 333-5611
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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 PA9121573 (FL)

Record details

NPI number1669162897
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 10, 2023
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026
Mailing address6440 W Newberry Rd Ste 102, Gainesville, FL 32605-4368

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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