Individual
EMILY D KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2817 REILLY ROAD, STOP A, FORT BRAGG, NC 28310-7301
(910) 907-7673
Mailing address
2817 REILLY ROAD, STOP A, FORT BRAGG, NC 28310-7301
(910) 907-7673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005245
NC
Other
Enumeration date
09/23/2009
Last updated
09/12/2011
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