Individual
MICHELLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11333 CORNELL PARK DR STE 100, BLUE ASH, OH 45242-1813
(513) 751-6667
(513) 872-4553
Mailing address
514 N CATALINA AVE, PASADENA, CA 91106-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95212623
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0021444
OH
Other
Enumeration date
07/28/2023
Last updated
01/13/2026
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