Individual
NANCY T. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-1320
(302) 733-1000
(302) 733-2685
Mailing address
2 READS WAY, STE 201, NEW CASTLE, DE 19720-1630
(302) 709-4709
(302) 709-4551
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00666
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669813051
—
DE
Enumeration date
07/12/2013
Last updated
11/02/2018
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