Individual
KATIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
338 UNION AVE, RUTHERFORD, NJ 07070-1563
(201) 842-0501
Mailing address
338 UNION AVE, RUTHERFORD, NJ 07070-1563
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15116200
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ15116200
NJ
Other
Enumeration date
08/21/2024
Last updated
10/08/2025
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