Individual
YAE EUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1618 14TH ST NW, WASHINGTON, DC 20009-4335
(571) 216-4755
Mailing address
1618 14TH ST NW, WASHINGTON, DC 20009-4335
(917) 781-2352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024185217
VA
Other
Enumeration date
09/15/2022
Last updated
01/09/2023
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