Individual
JAE KYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 E 63RD ST APT 11F, NEW YORK, NY 10065-7934
(646) 942-2510
Mailing address
450 E 63RD ST APT 11F, NEW YORK, NY 10065-7934
(646) 942-2510
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
556136-01
NY
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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