NPI 1235418369

Su Gym Kim, MD

Practitioner Interventional Pain Medicine Physician Providence, RI

Practice location

Address: 593 Eddy St George Building, First Floor, Providence, RI 02903-4923
Phone: (401) 444-3777
Fax: (401) 444-7249
Mailing address: 117 Ellenfield St Suite 101, Providence, RI 02905-4513

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence MD15614 (RI)

Other Pain Medicine providers in Rhode Island →

Interventional Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 46722 (KY)

Registry record

NPI: 1235418369
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2011
Record last updated: 26 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.