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

Mrs. Phung Kim DO, PA-C

Individual provider Physician Assistant · NPI 1902901838

Mrs. Phung Kim DO, PA-C is a Physician Assistant in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4745 S 3200 W
Salt Lake City, UT 84118-2822
Phone: (801) 964-6214
Fax: (801) 982-9232
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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 3083771-1206 (UT)

Record details

NPI number1902901838
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 8, 2007

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