Individual
HANARANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, CPNP
Contact information
Practice address
15400 LOS GATOS BLVD, LOS GATOS, CA 95032
(415) 939-6281
Mailing address
15400 LOS GATOS BLVD, LOS GATOS, CA 95032-2502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95147064
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95008163
CA
Other
Enumeration date
07/10/2014
Last updated
12/06/2021
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