Individual
SOO KYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
29 ARROYO VIEW CIR, BELMONT, CA 94002-3183
(415) 516-3369
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95018400
CA
363LG0600X
Gerontology Nurse Practitioner
NP95018400
CA
363LP2300X
Primary Care Nurse Practitioner
NP95018400
CA
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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