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Individual
JU HYUNG KIM
Active
Individual
JU HYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704431271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295065308
—
MO
Enumeration date
01/12/2010
Last updated
11/28/2025
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