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

Soo-Ok Kim, CRNP/CRNA

Individual provider Nurse Practitioner · NPI 1023059003

Soo-Ok Kim, CRNP/CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Baltimore, Maryland. Qualified in 2007, 19 years ago. Practices with First Colonies Anesthesia Associates, LLC, a 340-clinician group. Licensed in Maryland.

Years since qualifying
19
Licensed in
MD
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

600 N Wolfe St
Baltimore, MD 21287-0005
Phone: (410) 955-8408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R121222 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence R121222 (MD)

Record details

NPI number1023059003
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP/CRNA
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice First Colonies Anesthesia Associates, Llc — 340 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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