Individual
WILLIAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
5900 WATERLOO RD STE 200, COLUMBIA, MD 21045-2641
(410) 740-2900
Mailing address
7580 BUCKINGHAM BLVD STE 220, HANOVER, MD 21076-3210
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R226443
MD
Other
Enumeration date
10/16/2021
Last updated
03/16/2023
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