# HAE KYONG KIM NELSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790729218
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 20480 | SC | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 01/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 204807 | — | SC |
| 01 | — | 370017229 | RR MEDICARE | SC |
| 01 | — | 3816691 | CIGNA ID | SC |
| 01 | — | 571004971024 | BCBS OF SC ID | SC |
| 01 | — | 571004971027 | BLUECHOICE HEALTHPLAN ID | SC |
| 01 | — | 7744166 | AETNA ID | SC |