Individual
DR. JI SU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 349-8310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN686649
PA
Other
Enumeration date
07/02/2019
Last updated
09/09/2019
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