Individual
ANDREW KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N BLACKSTONE ST, TULARE, CA 93274-7377
(559) 688-1992
Mailing address
901 N BLACKSTONE ST, TULARE, CA 93274-7377
(559) 688-1992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95000909
CA
Other
Enumeration date
08/25/2014
Last updated
11/18/2014
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