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

Kisung Kim, BM

Individual provider Pediatric Adolescent Medicine Physician · NPI 1073939815

Kisung Kim, BM is a Pediatric Adolescent Medicine Physician in Red Bluff, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

2450 Sister Mary Columba Dr
Red Bluff, CA 96080-4356
Phone: (530) 527-0414
Fax: (530) 527-3720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence A141207 (CA)

Record details

NPI number1073939815
Entity typeIndividual (Type 1)
GenderMale
Credentials BM
Sole proprietorNo
NPI enumeratedMarch 17, 2014
Last updated in NPPESApril 3, 2019
Mailing address2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356