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Gyeong Kim

NPI 1912814419 · on the registry since 2026 · sole proprietor

Practice

Address
3646 Kennedy Rd
La Fayette, NY 13084
Phone
(347) 922-6845

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-27

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 New York