# SUSIE KIM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861819153
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35132226 | OH | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | D90616 | MD | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 02/01/2022