Active NPI
Kyung Min Kim, ATC
- Athletic Trainer
- Coral Gables, FL
National Provider Identifier
1629592829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AL4355
- Practice address
- 1507 Levante Ave # Mo128
Coral Gables, FL 33146-2416 - Phone
- (305) 284-6959
- Fax
- (305) 284-4183
- NPI assigned
- Jul 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL4355 | FL | Primary |
Addresses
Primary practice location
1507 Levante Ave # Mo128
Coral Gables, FL 33146-2416
Mailing address
1507 Levante Ave # Mo128
Coral Gables, FL 33146-2416
Phone (305) 284-6959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL4355 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1629592829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 LEVANTE AVE # MO128",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462416",
"telephone_number": "305-284-6959",
"fax_number": "305-284-4183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 LEVANTE AVE # MO128",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331462416",
"telephone_number": "305-284-6959",
"fax_number": "305-284-4183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "KYUNG MIN",
"name_prefix": "Dr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL4355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
- Kidz Medical Services
- Kidz Medical Services
- Kidz Medical Services (Kidz Pediatric Multispecialty Group)
- Kidz Medical Services, Inc
- Rachel Kiely, MS, CGC
- Raymond Daniel Kimsey, D.M.D.
- Kindred Hospitals East, LLC (Kindred Hospital - South Florida - Coral Gables)
- King Medical Service, Inc.
- Cashana Taylor King
- Dennis E King, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.