NPI 1316166531 · live from the CMS NPI Registry
Alice Kim
Radiology, Diagnostic Radiology in Providence, RI. National Provider Identifier 1316166531, active.
NPI record
| NPI | 1316166531 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 593 Eddy St, Providence, RI 02903 |
| Practice phone | 401-444-8450 |
| Enumerated | April 25, 2007 |
| Last updated | November 18, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD491841 (PA) |
| Radiology, Diagnostic Radiology | 2085R0202X | LP00500 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.