National Provider Identifier

David Kim

David Kim is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 507-9134.

NPI 1760978050Buffalo, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1760978050
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
July 10, 2018
Last Updated
April 11, 2025

Practice Location

  • 1050 Niagara St
  • Buffalo, NY 14213-2001

Phone: (716) 507-9134

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1760978050
Entity Type
Individual
Last Name
Kim
First Name
David
Mailing Street Address
1050 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2001
Mailing Country
US
Mailing Phone
(716) 507-9134
Practice Street Address
1050 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-2001
Practice Country
US
Practice Phone
(716) 507-9134
Enumeration Date
July 10, 2018
Last Updated
April 11, 2025
Sex
Male
Sole Proprietor
No
Certification Date
April 11, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X), Registered Nurse (163W00000X)