Individual provider · Type 1 NPI

Kalis J. Kim, NP

Family Nurse Practitioner · Vancouver, WA

NPI number 1265088157 Active

Practice location

501 SE 172nd Ave
Vancouver, WA 98684-9542

Mailing address

PO Box 4825
Portland, OR 97208-4825

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP60976791 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1265088157

Kalis J. Kim, NP's National Provider Identifier is 1265088157, issued on Aug 15, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vancouver, WA. The record was last updated on Oct 1, 2019.