Individual provider · Type 1 NPI

Soyoung Kim

Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA

NPI number 1063257178 Active

Practice location

1626 Locust St
Philadelphia, PA 19103-6305

Mailing address

45 Cropwell Ln
Holland, PA 18966-2585

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP029814 (PA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063257178

Soyoung Kim's National Provider Identifier is 1063257178, issued on Jun 28, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 4, 2024.