Individual
CHRISTINE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
15 PINEHURST AVE, PORT MONMOUTH, NJ 07758-1427
(848) 218-1356
Mailing address
17 CHEYENNE ST, TINTON FALLS, NJ 07712-7753
(848) 218-1356
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR14289800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00402500
ADVANCED PRACTICE NURSE LICENSE NUMBER
NJ
Enumeration date
11/29/2012
Last updated
07/23/2019
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