Shine Kim, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Akron, WV
NPI 1609516137 · NPPES record last updated Jul 10, 2026
Key facts
- NPI
- 1609516137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- PO Box 9214, 1 Medical Center Dr
Pediatrics Suite 4626, HSC-South
Akron, WV 44308-1046 - Phone
- (330) 543-1000
- NPI assigned
- Mar 31, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
PO Box 9214, 1 Medical Center Dr
Pediatrics Suite 4626, HSC-South
Akron, WV 44308-1046
Mailing address
PO Box 9214, 1 Medical Center Dr
Pediatrics Suite 4626, HSC-South
Morgantown, WV 26506-9214
Phone (202) 460-3233
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.