Individual
MS. JENNIFER Y. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(877) 757-7547
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR06859900
NJ
367500000X
Certified Registered Nurse Anesthetist
385618
NY
Other
Enumeration date
01/29/2007
Last updated
03/19/2015
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