Individual
MR. ANDREW ALEXANDER KIM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702
(478) 321-7969
Mailing address
7901 4TH ST N STE 4000, ST PETERSBURG, FL 33702-4305
(478) 321-7969
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN291818
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
1214511
TX
367500000X
Certified Registered Nurse Anesthetist
7844
NC
390200000X
Student in an Organized Health Care Education/Training Program
RN291818
GA
Other
Enumeration date
03/02/2023
Last updated
10/14/2025
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