NPI 1265478531

Susan C Kim, MD

Practitioner Pediatrics Physician Meridian, ID

Practice location

Address: 3280 E Lanark Dr, Meridian, ID 83642-5982
Phone: (208) 377-4400
Fax: (208) 377-4416
Mailing address: PO Box 191050, Boise, ID 83719-1050

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence M6493 (ID)

Other Pediatrics providers in Idaho →

Registry record

NPI: 1265478531
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jun 2006
Record last updated: 20 Aug 2020

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.