IndividualActive
Peter Kim, MD
NPI 1669754925 · Pediatric Surgery Physician · Providence, RI
Provider details
- NPI number
- 1669754925
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD039738 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2 Dudley St Ste 190
Providence, RI 02905-3248
Phone: (401) 553-8341
Fax: (401) 868-2319
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 16149
Rumford, RI 02916-0697
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.