SHELLY ANNE KIM PA-C NPI 1851738348

NPI Information

Shelly Anne Kim, PA-C is a medical physician assistant in Atlanta, GA with 11 years of experience. Shelly Anne Kim, PA-C NPI is 1851738348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

5670 PEACHTREE DUNWOODY RD STE 1110
ATLANTA, GA
ZIP 30342-699
Phone: (404) 851-2300
Fax: (404) 874-1249

The NPI 1851738348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 3/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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