Individual
HAENA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7600 CENTRAL AVE, PHILADELPHIA, PA 19111-2442
(215) 728-2000
Mailing address
1421 S BOUVIER ST, PHILADELPHIA, PA 19146-4724
(267) 269-9292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117351
PA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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