IndividualActive
Agnes Kim, RD
NPI 1629682232 · Pediatric Critical Care Nutrition Registered Dietitian · Chicago, IL
Provider details
- NPI number
- 1629682232
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 164005768 (IL)
Mailing address
225 E Chicago Ave Box 23
Chicago, IL 60611
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.