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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992449243

Kristen S Kim is a Student in an Organized Health Care Education/Training Program in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5225 Canyon Crest Dr Bldg 100
Riverside, CA 92507-6301
Phone: (909) 520-1851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence A189430 (CA)

Record details

NPI number1992449243
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 22, 2022
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026

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