Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kirsten Kim MD PA

Organization Family Medicine Physician · NPI 1124699095

Kirsten Kim MD PA provides Family Medicine Physician services in Port Orange, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

870 Dunlawton Ave Ste 311
Port Orange, FL 32127-9274
Phone: (386) 310-4807
Fax: (386) 310-7473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124699095
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirsten Kim — Owner · (386) 310-4807
NPI enumeratedJuly 1, 2021
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address870 Dunlawton Ave Ste 311, Port Orange, FL 32127-9274

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