Active NPIIndividual provider

Dr. Peter Kim, MD

Surgery, Pediatric Surgery in Providence, Rhode Island

NPI Number1669754925
Practice location
2 Dudley St Ste 190, Providence, RI 02905-3248
Fax
401-868-2319
Last updated
February 5, 2020

Peter Kim is a Surgery, Pediatric Surgery based in Providence, RI. Peter Kim practices in Providence, RI and has the professional credentials of MD. The NPI Number for Peter Kim is 1669754925 and holds a License No. MD039738 (DC). The current practice location address for Peter Kim is 2 Dudley St Ste 190, Providence, RI 02905-3248 and can be reached out via phone at 401-553-8341 and via fax at 401-868-2319.

Provider Profile Details

NPI Number
1669754925
Provider Name
Peter Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Dudley St Ste 190, Providence, RI 02905-3248
Phone Number
401-553-8341
Fax Number
401-868-2319
Primary Taxonomy
Surgery, Pediatric Surgery · 2086S0120X
Sole Proprietor
No
Provider Enumeration Date
September 13, 2011
Last Update Date
February 5, 2020
Certification Date
February 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Dudley St Ste 190
Providence, RI 02905-3248
Zip
02905-3248
Phone Number
401-553-8341
Fax Number
401-868-2319
Providence, RI 02905Get directions →

Provider Business Mailing Address Details

Address
Po Box 16149
Rumford, RI 02916-0697
City
Rumford
State
RI
Zip
02916-0697
Phone Number
401-453-9625
Fax Number
401-435-7069

License Information

License Number (1)
MD039738
License State (1)
DC
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD16869
License State (2)
RI
Taxonomy (2)
Surgery, Pediatric Surgery · 2086S0120X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter Kim, MD?

The NPI number of Dr. Peter Kim, MD is 1669754925. It was assigned on September 13, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter Kim, MD?

Dr. Peter Kim, MD is registered under the primary taxonomy Surgery, Pediatric Surgery (code 2086S0120X), licensed in DC under license number MD039738.

Where does Dr. Peter Kim, MD practice?

The practice location is 2 Dudley St Ste 190, Providence, RI 02905-3248. The office can be reached at 401-553-8341 (phone) or 401-868-2319 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669754925 directly on the NPPES registry website.

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