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Individual
HYEONGYU KIM
Active
Individual
HYEONGYU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
201602206RN
OR
363L00000X
Nurse Practitioner
Primary
202211907NP-PP
OR
363L00000X
Nurse Practitioner
AP61354264
WA
Other
Enumeration date
09/06/2021
Last updated
09/27/2024
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