Individual
MIN JI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3404 WAKE FOREST RD STE 100, RALEIGH, NC 27609-7341
(919) 862-5970
Mailing address
285 DRY CANYON DR, WENDELL, NC 27591-3312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5021763
NC
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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