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

Kristy Kim

Individual provider Licensed Practical Nurse · NPI 1104102755

Kristy Kim is a Licensed Practical Nurse in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

7554 197th St 2FL
Fresh Meadows, NY 11366-1817
Phone: (917) 574-6303
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 306965 (NY)

Record details

NPI number1104102755
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2011
Last updated in NPPESOctober 27, 2011
Mailing address7554 197th St, 2 Fl, Fresh Meadows, NY 11366-1817

Other providers in Fresh Meadows