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Individual

GLORIA S. KIM

Active
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Individual

GLORIA S. KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0020432
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000396
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
162440
MEDICARE GROUP NUMBER
DE
05
1740348986
DE
Enumeration date
12/04/2006
Last updated
04/17/2019
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