Individual
CATHERINE HONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
210 MEDICAL PAVILION DRIVE, EMERGENCY DEPARTMENT, RAEFORD, NC 28376-8957
(910) 904-8071
Mailing address
210 MEDICAL PAVILION DRIVE, EMERGENCY DEPARTMENT, RAEFORD, NC 28376-8957
(910) 904-8071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014311
NCBON
NC
01
—
F02210020
AANP
—
Enumeration date
03/11/2019
Last updated
05/16/2023
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