Individual
CHANG SOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
912 FREMONT ST, DELANO, CA 93215-2713
(866) 707-6664
Mailing address
11825 CAMPUS PARK DR, BAKERSFIELD, CA 93311-8656
(661) 490-1249
Taxonomy
Speciality
Code
Description
License number
State
163WN0300X
Nephrology Registered Nurse
95177417
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95031133
CA
Other
Enumeration date
02/15/2024
Last updated
10/23/2024
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