Individual
KELLY ANNE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(925) 324-5137
Mailing address
3701 WEST RD, LAFAYETTE, CA 94549-3704
(925) 324-5137
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
95009982
CA
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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