Eun Kyung Kim

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F310597 Issued in NY

Practice address

19411 Northern Blvd
Flushing, NY 11358-3032

Phone

(929) 539-9443

NPI assigned

Jun 9, 2025

Last updated

Jun 9, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1578457925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 97TH PL",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741346",
            "telephone_number": "917-608-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583032",
            "telephone_number": "929-539-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EUN KYUNG",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dong Kim, RPH
• Dong Arm Kim
• Eileen J Kim, OD
• Ellen Kim, RN
• Eun Hee Kim
• Eun Sun Kim
• Eunja Kim
• Gahee Kim
• Geon Kim
• Gilbert Y Kim, DDS

• Adult Health Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.