Individual
HOLLY N KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S CATON AVE, FULTON, MD 21229
(410) 707-8946
Mailing address
11345 MARKET STREET, FULTON, MD 20759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R184801
MD
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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