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Individual

MISS CATHY YOUNG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4540 W RAILROAD ST, GULFPORT, MS 39501-2480
(228) 867-4000
Mailing address
4540 W RAILROAD ST, GULFPORT, MS 39501-2480
(228) 867-4000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
690629
NY
163W00000X
Registered Nurse
922037
MS
363LA2200X
Adult Health Nurse Practitioner
Primary
309227
NY
363LA2200X
Adult Health Nurse Practitioner
905632
MS

Other

Enumeration date
01/06/2015
Last updated
01/28/2026
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