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Individual
SOO-HYUN LEE-KIM
Active
Individual
SOO-HYUN LEE-KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
667181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183699101
—
TX
01
—
183699102
CSHCN
TX
01
—
8Y0667
BCBSTX
TX
Enumeration date
10/03/2006
Last updated
04/03/2009
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