Individual
MARY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(917) 705-3982
Mailing address
6877 SILKWOOD LN, SOLON, OH 44139-5078
(917) 705-3982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0038587
OH
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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