Individual
MRS. BETHANY PURNELL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
240 E 38TH ST FL 20, NEW YORK, NY 10016-2708
(212) 731-6150
Mailing address
535 W 52ND ST APT 3G, NEW YORK, NY 10019-7630
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015232-1
NY
363A00000X
Physician Assistant
25MP00195600
NJ
Other
Enumeration date
06/30/2008
Last updated
05/11/2023
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