Individual
SOOKHEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 MAIN ST, PATERSON, NJ 07505-1026
(973) 523-4000
Mailing address
606 BROADWAY, PATERSON, NJ 07514-1916
(973) 689-3081
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00436600
NJ
Other
Enumeration date
04/01/2015
Last updated
02/10/2016
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