Su Gym Kim, MD
Su Gym Kim, MD is a Physical Medicine and Rehabilitation in Providence, Rhode Island. Qualified in 2004, 22 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group and accepts Medicare assignment. Licensed in Kentucky and Rhode Island.
- Years since qualifying
- 22
- Licensed in
- KY, RI
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
593 Eddy St George Bldg First FlProvidence, RI 02903-4923
Phone: (401) 444-3777
Fax: (401) 444-7249
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence MD15614 (RI) |
|---|---|
| Interventional Pain Medicine Physician | Taxonomy 208VP0014X · Licence 46722 (KY) |
Record details
| NPI number | 1235418369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 7, 2011 |
| Last updated in NPPES | October 26, 2021 |
| Certification date | October 26, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL MEDICINE AND REHABILITATION |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Trinity Health Of New England Provider Network Organization Inc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |