Individual provider · Type 1 NPI
Hyoeun Kim
Primary Care Nurse Practitioner · Newark, NJ
NPI number
1124650387
Active
Practice location
150 Bergen St
Newark, NJ 07103-2496
Mailing address
402 Livingston Ct
Edgewater, NJ 07020-1639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ00936100 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1124650387
Hyoeun Kim's National Provider Identifier is 1124650387, issued on Feb 6, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Newark, NJ. The record was last updated on Feb 6, 2020.