Individual
JI-HYUN SUE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0942
Mailing address
2307 GEORGIA VILLAGE WAY, SILVER SPRING, MD 20902-4203
(443) 621-9559
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R147321
MD
Other
Enumeration date
11/30/2010
Last updated
01/26/2011
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