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

Soyeon Kim

Individual provider Certified Registered Nurse Anesthetist · NPI 1972174340

Soyeon Kim is a Certified Registered Nurse Anesthetist (CRNA) in Orlando, Florida. Qualified in 2021, 5 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
5
Licensed in
FL, NY
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

52 W Underwood St
Orlando, FL 32806-1110
Phone: (321) 841-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 736 Irving Ave, Syracuse, NY 13210-1602 — (315) 470-7111

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence N34625 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 11015879 (FL)
Registered Nurse Taxonomy 163W00000X · Licence 9363192 (FL)

Record details

NPI number1972174340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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