Individual
MISS HEA-YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 SUMMER ST, SAINT VINCENT HOSPITAL, WORCESTER, MA 01608-1216
(774) 279-9947
Mailing address
200 NICKERSON RD, SUITE #110, MARLBOROUGH, MA 01752-4635
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN2282062
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2282062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2282062
APRN
MA
Enumeration date
08/28/2015
Last updated
08/28/2015
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