Individual
KYONGMI ANDRE
Active
Individual
KYONGMI ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
86666
WV
163WC1600X
Continuing Education/Staff Development Registered Nurse
86666
WV
163WC3500X
Cardiac Rehabilitation Registered Nurse
86666
WV
163WE0003X
Emergency Registered Nurse
Primary
86666
WV
163WM0705X
Medical-Surgical Registered Nurse
86666
WV
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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