Individual
SOO-OK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP/CRNA
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-8408
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R121222
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R121222
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401219400
—
MD
Enumeration date
06/09/2006
Last updated
09/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us