Individual
TERRY KIM LAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 578-3236
(719) 578-3234
Mailing address
301 S UNION BLVD, COLORADO SPRINGS, CO 80910-3123
(719) 578-3236
(719) 578-3234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96247
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07962475
—
CO
Enumeration date
01/18/2008
Last updated
01/18/2008
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