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Individual

GHIJUNG KYLIE KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1836B CERRILLOS RD, SANTA FE, NM 87505-3576
(505) 357-1220
(505) 805-7356
Mailing address
1836B CERRILLOS RD, SANTA FE, NM 87505-3576
(505) 357-1220
(505) 805-7356

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP136423
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP136423
TX

Other

Enumeration date
05/04/2018
Last updated
04/08/2026
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