Susan Kim, MS, RD, CNSC is a
Dietitian, Registered based in Sackets Harbor, New York. Susan Kim is licensed to practice in Colorado (license number 1105343) and her current practice location is
21011 Storrs Rd, Sackets Harbor, New York. She can be reached at her office (for appointments etc.) via phone at
(720) 771-6691.
NPI number for Susan Kim is 1861893000 and her current mailing address is 21011 Storrs Road, Sackets Harbor, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861893000.
Healthcare Provider's Profile
| Full Name | Susan Kim |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 21011 Storrs Rd, Sackets Harbor, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861893000
- Provider Enumeration Date: 09/08/2014
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Susan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861893000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1105343 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Susan Kim, MS, RD, CNSC
21011 Storrs Road,
Sackets Harbor, NY 13685
Ph: (720) 771-6691 | Susan Kim, MS, RD, CNSC
21011 Storrs Rd,
Sackets Harbor, NY 13685-3172
Ph: (720) 771-6691 |
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