Individual
EUN KYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
19411 NORTHERN BLVD, FLUSHING, NY 11358-3032
(929) 539-9443
Mailing address
6254 97TH PL, REGO PARK, NY 11374-1346
(917) 608-7144
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310597
NY
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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