Individual
MINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 N 39TH ST BLDG 201, PHILADELPHIA, PA 19104-2640
(215) 662-9775
Mailing address
407 REGINA ST, PHILADELPHIA, PA 19116-2404
(215) 992-4198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
363AM0700X
Medical Physician Assistant
Primary
MA067605
PA
Other
Enumeration date
01/16/2026
Last updated
04/03/2026
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