Individual provider · Type 1 NPI

Gwyneth Kim, FNP

Family Nurse Practitioner · Tustin, CA

NPI number 1154997682 Active

Practice location

14642 Newport Ave Ste 105
Tustin, CA 92780-6058

Mailing address

15638 Starbuck St
Whittier, CA 90603-2320

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95016380 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1154997682

Gwyneth Kim, FNP's National Provider Identifier is 1154997682, issued on Jun 3, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tustin, CA. The record was last updated on Aug 1, 2021.