Provider Demographics
NPI:1700364981
Name:KIM, YIYING (PAC)
Entity Type:Individual
Prefix:
First Name:YIYING
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:43 WHITING HILL RD STE 300
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1006
Mailing Address - Country:US
Mailing Address - Phone:207-973-5000
Mailing Address - Fax:207-973-5042
Practice Address - Street 1:43 WHITING HILL RD STE 300
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1006
Practice Address - Country:US
Practice Address - Phone:207-973-5000
Practice Address - Fax:207-973-5042
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEPA1858363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant