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Individual

JANUARY K KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-5066
(614) 293-9449
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5066
(614) 293-9449

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.501056
OH
363L00000X
Nurse Practitioner
APRN.CNP.0034155
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0034155
OH

Other

Enumeration date
03/21/2023
Last updated
11/21/2025
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