Individual
MS. SUSAN MARY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1350 LOCUST ST STE 105, PITTSBURGH, PA 15219-4738
(412) 232-8840
(412) 232-3690
Mailing address
1350 LOCUST ST STE 105, PITTSBURGH, PA 15219-4738
(412) 232-8840
(412) 232-3690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP000893C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP000893C
PA
Other
Enumeration date
07/15/2005
Last updated
09/01/2021
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