OrganizationActive
Soon Ja Kim MD PA
NPI 1669796710 · Adult Medicine Physician · Elkridge, MD
Provider details
- NPI number
- 1669796710
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Soon Kim, President(410) 796-7730
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5808 Main St
Elkridge, MD 21075-5105
Phone: (410) 796-7730
Fax: (410) 379-1537
Approximate (ZIP-level) locationGet directions
Mailing address
5808 Main St
Elkridge, MD 21075-5105
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2010-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.