Individual
LISA M. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-7499
(614) 366-2360
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.142026
OH
208M00000X
Hospitalist Physician
Primary
35.142026
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
HOSPITAL
OH
Enumeration date
03/26/2019
Last updated
08/25/2025
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