SearchPennsylvania390200000X

Sun Moon Kim, DO

NPI 1669069696 · on the registry since 2020

Practice

Address
4190 City Ave
Philadelphia, PA 19131
Phone
(215) 871-6690
Fax
(215) 871-6695
Organisation at this address
Ent R Net, P A
City Line E.N.T., Pc
City Line Pediatrics
Philadelphia Health & Education Corp
Philadelphia College Of Osteopathic Medicine
Inferred from a shared address, not stated in the registry.
Clinicians at this address
177

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
183500000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania