Individual
MEEKYUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
725 ALBANY STREET, SHAPIRO LOWER LEVEL, BOSTON, MA 02118-2526
(617) 638-6287
(617) 638-6284
Mailing address
801 ALBANY ST FL GROUND, BOSTON, MA 02119-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN273885
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084715A
—
MA
Enumeration date
01/29/2010
Last updated
12/23/2020
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