Kisung Kim, BM is an adolescent medicine pediatrics in Red Bluff, CA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Kisung Kim, BM NPI is 1073939815. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2450 SISTER MARY COLUMBA DR
RED BLUFF, CA
ZIP 96080-356
Phone: (530) 527-0414
Fax: (530) 527-3720
The NPI 1073939815 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 3/17/2014 and was last updated on 4/3/2019.