Individual
ASHLEY LEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
400 W SUMMERFIELD CIR, ANAHEIM, CA 92802-4775
(714) 292-3298
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
95021324
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95021324
CA
Other
Enumeration date
06/23/2022
Last updated
01/19/2024
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