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Individual

HYOJEONG KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704283603
MI
363LA2200X
Adult Health Nurse Practitioner
4704283603
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704283603
MI
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
AP60383782
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1700128162
WA
Enumeration date
03/25/2013
Last updated
03/16/2026
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