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Individual

MI JEONG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1250 W WASHINGTON ST STE 215, TEMPE, AZ 85288-1697
(928) 272-7224
(480) 956-0829
Mailing address
4539 N 22ND ST STE B, PHOENIX, AZ 85016-4639
(520) 499-0778
(480) 956-0829

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
313108
AZ

Other

Enumeration date
08/21/2024
Last updated
05/31/2025
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