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

Susan Kim, MS, RD, CNSC

Individual provider Registered Dietitian · NPI 1861893000

Susan Kim, MS, RD, CNSC is a Registered Dietitian in Sackets Harbor, New York. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2014
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

21011 Storrs Rd
Sackets Harbor, NY 13685-3172
Phone: (720) 771-6691
Fax: (720) 771-6691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1105343 (CO)

Record details

NPI number1861893000
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , CNSC
Sole proprietorYes
NPI enumeratedSeptember 8, 2014
Last updated in NPPESJuly 21, 2022

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