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

So Kim, FNP-C

Individual provider Family Nurse Practitioner · NPI 1285183723

So Kim, FNP-C is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2002, 24 years ago. Practices with Minuteclinic Diagnostic of Kansas PA, a 139-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3002 Highway K
O Fallon, MO 63368-8675
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016034713 (MO)

Record details

NPI number1285183723
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 26, 2016
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address3002 Highway K, O Fallon, MO 63368-8675

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Minuteclinic Diagnostic Of Kansas Pa — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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