Individual
ANDY YOUNG JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 E W T HARRIS BLVD, CHARLOTTE, NC 28262-3485
(704) 863-9850
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
5012016
NC
363L00000X
Nurse Practitioner
Primary
5012016
NC
Other
Enumeration date
07/19/2019
Last updated
07/15/2024
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