Individual
KYEONG SUK KIM
Active
Individual
KYEONG SUK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
171277
TN
163WC0400X
Case Management Registered Nurse
Primary
171277
TN
Other
Enumeration date
04/04/2016
Last updated
07/25/2019
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