Individual
NANCY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4735 OGLETOWN-STANTON RD, SUITE 3302, NEWARK, DE 19713
(302) 623-4144
(602) 623-4147
Mailing address
4735 OGLETOWN-STANTON RD, SUITE 3302, NEWARK, DE 19713
(302) 623-4144
(602) 623-4147
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C10006691
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2230869000
AMERIHEALTH
DE
01
—
3295888
AETNA
DE
01
—
510110596
BCBS DE
DE
Enumeration date
04/01/2006
Last updated
06/16/2016
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