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Individual
MI HWA KIM
Active
Individual
MI HWA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
865516
TX
363LG0600X
Gerontology Nurse Practitioner
1100508
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1100508
TX
Other
Enumeration date
08/15/2022
Last updated
07/31/2023
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