Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
207 VAN VORST ST APT 1104, JERSEY CITY, NJ 07302-6346
(516) 509-8121
Mailing address
65 BERGEN ST, NEWARK, NJ 07107-3001
(516) 509-8121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR24682000
NJ
163W00000X
Registered Nurse
717387
NY
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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