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

Yeseul Kim, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1386376077

Yeseul Kim, MD is a Physical Medicine and Rehabilitation in Fort Wayne, Indiana. Qualified in 2015, 11 years ago. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2231 Carew St
Fort Wayne, IN 46805-4713
Phone: (260) 425-6780
Fax: (260) 373-9225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 01099717A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386376077
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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