Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kyung Soo Kim, MD

Cardiovascular Disease Physician in Warren, MI · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558363119

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Registry record

Entity type Individual (Type 1)

Name Kyung Soo Kim

Credential MD

Sex Male

Practice address 14049 E 13 Mile Rd Ste 1, Warren, MI, 48088

Phone (586) 415-0103

Fax (586) 415-0108

Enumeration date Aug 12, 2005

Last updated in NPPES Mar 7, 2023

Taxonomy & licenses

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians · License 4301032265 (MI) Primary

207UN0901X Nuclear Cardiology Physician Allopathic & Osteopathic Physicians · License 4301032265 (MI) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
060-507-4551	Other	MI	BLUECROSSBLUESHIELD
OH-26467002	Other	MI	MEDICARE ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Kyung Kim?

Kyung Kim is registered in NPPES with the primary taxonomy of Cardiovascular Disease Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.