Individual
JULIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 E 69TH ST, NEW YORK, NY 10021-5608
(410) 458-4717
Mailing address
167 DEVOE ST APT 1A, BROOKLYN, NY 11211-3939
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1121259
NY
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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