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Individual
KIM AN PHAM
Active
Individual
KIM AN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9535823
FL
363LF0000X
Family Nurse Practitioner
Primary
5018197
NC
364SF0001X
Family Health Clinical Nurse Specialist
5018197
NC
Other
Enumeration date
04/10/2023
Last updated
07/15/2025
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