Individual
MS. GEEEUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
295 TENAFLY RD, APT #C, TENAFLY, NJ 07670-2540
(201) 981-5961
Mailing address
295 TENAFLY RD, APT #C, TENAFLY, NJ 07670-2540
(201) 981-5961
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
624283
NY
363LF0000X
Family Nurse Practitioner
Primary
F339239
NY
Other
Enumeration date
03/14/2013
Last updated
08/24/2015
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