Individual
SANGMIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2664 FM 2054, TENNESSEE COLONY, TX 75886-5000
(903) 928-2311
Mailing address
2664 FM 2054, TENNESSEE COLONY, TX 75886-5000
(903) 928-2311
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP143489
TX
363LG0600X
Gerontology Nurse Practitioner
AP143489
TX
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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