Individual
KAITLIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(667) 214-1718
(410) 706-6976
Mailing address
29 S GREENE ST STE 502, BALTIMORE, MD 21201-1504
(667) 214-1734
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C08417
MD
363AS0400X
Surgical Physician Assistant
C0008417
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2020
Last updated
01/08/2026
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