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Individual
SUN S KIM
Active
Individual
SUN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN PC
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
279972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279972
MASSACHUSETTS LICENSE
MA
Enumeration date
01/09/2009
Last updated
05/01/2014
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