Individual
KIRYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
401 N BROADWAY ST, BALTIMORE, MD 21287-0019
(410) 614-3850
(410) 614-4501
Mailing address
43 TENBY CT, LUTHERVILLE TIMONIUM, MD 21093-1873
(857) 225-2031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R214235
MD
Other
Enumeration date
07/10/2019
Last updated
11/12/2019
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