Individual
BOBAH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-4699
(317) 621-4900
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014676A
IN
Other
Enumeration date
11/15/2023
Last updated
12/05/2023
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