Individual
JEAN Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
(703) 776-2623
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R180483
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167694
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414417100
—
MD
Enumeration date
01/28/2008
Last updated
06/11/2014
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