| Organization Name: | KATHYLN M. KIM, MD LLC |
| NPI Number: | 1346482254 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLYN M KIM (OWNER) |
| Mailing Address: | 24 Wyckoff Ave Suite One Waldwick |
| State: | NJ US |
| Postal Code: | 074631758 |
| Phone Number: | 2017880613 |
| Fax Number: | 8668452201 |
| NPI Enumeration Date: | 03/24/2009 |
| NPI Last Update Date: | 03/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 25MA06066900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |