Individual provider · Type 1 NPI
Michelle Heesung Kim
Family Nurse Practitioner · Oklahoma City, OK
NPI number
1104467620
Active
Practice location
4401 S Western Ave
Oklahoma City, OK 73109-3413
Mailing address
PO Box 5614
Norman, OK 73070-5614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0113839 (OK) |
| Family Nurse Practitioner Primary | 363LF0000X | AP61045635 (WA) |
Family Nurse Practitioner: Definition to come...
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Other family nurse practitioner providers in Oklahoma City
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About NPI 1104467620
Michelle Heesung Kim's National Provider Identifier is 1104467620, issued on Oct 6, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 7, 2021.