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Lisa M Kim M D Inc

Primary Care Clinic/Center in Ellicott City, MD · enumerated 2010 · authorized official Lisa Kim, Owner.

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

National Provider Identifier

1457660110

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Registry record

Entity type Organization (Type 2)
Legal business name Lisa M Kim M D Inc
Practice address 3355 Rogers Ave, Ellicott City, MD, 21043
Fax (410) 480-5197
Enumeration date Sep 29, 2010
Last updated in NPPES Sep 29, 2010

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License D52479 (MD) Primary

Authorized official

Name Lisa Kim
Title Owner

Other identifiers

Identifier Type State Issuer
346603500 Medicaid MD -

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

Where is Lisa M Kim M D Inc located?
The practice location on file with NPPES is in Ellicott City, MD.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-09-29. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-09-29.