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Individual

CHI SUK KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4251 NORTHERN AVE, KANSAS CITY, MO 64133-1593
(816) 861-4700
Mailing address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2016021763
MO
363LF0000X
Family Nurse Practitioner
Primary
A171588
IA

Other

Enumeration date
09/23/2022
Last updated
10/03/2023
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