Individual
KEVIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
160 ESSEX ST STE 103, LODI, NJ 07644-2709
(551) 996-1370
(551) 996-1377
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB11663100
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MB11663100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
03/31/2020
Last updated
04/07/2026
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