Individual provider · Type 1 NPI

Minji Kim

Family Nurse Practitioner · New York, NY

NPI number 1205647237 Active

Practice location

1 Gustave L Levy Pl
New York, NY 10029-6504

Mailing address

1134 Sansom St Apt 714
Philadelphia, PA 19107-4985

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XRN2344092 (MA)

Family Nurse Practitioner: Definition to come...

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About NPI 1205647237

Minji Kim's National Provider Identifier is 1205647237, issued on Jan 17, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Jun 4, 2026.