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

Soo Kyung Kim

Individual provider Gerontology Nurse Practitioner · NPI 1700558731

Soo Kyung Kim is a Gerontology Nurse Practitioner in Palo Alto, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone: (650) 493-5000
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence NP95018400 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence NP95018400 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence NP95018400 (CA)

Record details

NPI number1700558731
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2021
Last updated in NPPESSeptember 28, 2021
Certification dateSeptember 28, 2021

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