Kyoung-Soon Kim, MD
Pediatrics Physician · Kennesaw, GA
Kyoung-Soon Kim, MD is a pediatrics physician with a practice address in Kennesaw, Georgia, and NPI 1760473276, issued on Nov 3, 2005. Check the license (Georgia 039144, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Kyoung-Soon Kim
- Credential
- MD
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 039144 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1770 Dennis Kemp LN NW, Kennesaw, GA 30152
- Phone
- (770) 515-9000
- Enumerated
- Nov 3, 2005
- Record last updated
- Aug 23, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (678) 813-3355
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 2,258 in Georgia → Look up another NPI →
Also registered at 1770 Dennis Kemp LN NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jamie ConwellPediatric Nurse Practitioner1255980926
- Emery Dikeman, MSN, APRN, CPNP-PCPediatric Nurse Practitioner1497543656
- Mary Graves, PNPPediatric Nurse Practitioner1164490504
- Sarah Keen, RNPediatric Nurse Practitioner1033702923
- Hilere PasleyPediatric Nurse Practitioner1841799905
- Tanya Wilcox, NPPediatric Nurse Practitioner1013001973
Verify Kyoung-Soon Kim in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 039144Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $67.97
3 payments; by number, the most common kind was food and beverage; the largest payer was Sanofi Pasteur Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kyoung-Soon Kim among 2,258 pediatrics physician records in Georgia
Kyoung-Soon Kim, MD is one of 2,258 pediatrics physician records with a practice address in Georgia. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 90% newer
- In a Medicare fileYes · 47% of these records are
- In the CMS Doctors and Clinicians fileNo · 5% of these records are
- Record last updated2016 · 53% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
32 pediatrics physician records list a practice address in Kennesaw
They are 32 of the 1,723 NPPES records with a practice address in Kennesaw, and 2,258 pediatrics physician records in Georgia.
All 2,258 in Georgia → Every provider in Kennesaw → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Saudiqa Hoossainy, M.D.Kennesaw, GA 301521558599084
- Nathan Lynes, M.D.Kennesaw, GA 301521265799589
- Kevin SullivanKennesaw, GA 301521003497801
- Elizabeth Amodeo, MDKennesaw, GA 301441447360326
- Sabrina Clark, D.O.Kennesaw, GA 301441932527041
- Kimberly Dao-King, M.D.Kennesaw, GA 301441023403607
- Nicole Davidson, MDKennesaw, GA 301441316382328
- Constance Enmon, MDKennesaw, GA 301441093943300
Common questions
What is Kyoung-Soon Kim, MD's NPI number?
Kyoung-Soon Kim, MD's National Provider Identifier (NPI) is 1760473276, issued on Nov 3, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kyoung-Soon Kim, MD located?
The NPPES record lists a practice address at 1770 Dennis Kemp LN NW, Kennesaw, GA, 30152. Phone: (770) 515-9000. Providers update this record themselves, so call before visiting.
How can I verify Kyoung-Soon Kim, MD's license?
NPPES lists Georgia license number 039144, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.