IndividualActive
Candice Kim
NPI 1962067900 · Body Imaging Physician · Philadelphia, PA
Provider details
- NPI number
- 1962067900
- Entity type
- Individual
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- MT232552 (PA)
Practice location
1338 Chestnut St Apt 903
Philadelphia, PA 19107-4509
Phone: (206) 650-3109
Mailing address
1338 Chestnut St Apt 903
Philadelphia, PA 19107-4509
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2025-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.