Individual
KIM LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 PARNASSUS AVE STE A610, SAN FRANCISCO, CA 94143-2202
(415) 353-2200
Mailing address
222 SHORELINE CT, RICHMOND, CA 94804-7435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015876
CA
Other
Enumeration date
12/26/2020
Last updated
12/26/2020
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