Individual
WOON-OK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5457 WAYNE AVE, NEW COURTLAND LIFE AND ADULT DAY PROGRAM, PHILADELPHIA, PA 19144-3433
(263) 335-1500
(267) 286-8250
Mailing address
5457 WAYNE AVE, NEW COURTLAND LIFE AND ADULT DAY PROGRAM, PHILADELPHIA, PA 19144-3433
(267) 335-1500
(267) 286-8250
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ00164900
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
SP008773
PA
Other
Enumeration date
01/08/2007
Last updated
11/15/2011
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