Individual provider · Type 1 NPI
Richard Kim
Adult Health Nurse Practitioner · New York, NY
NPI number
1407631203
Active
Practice location
1190 5th Ave
New York, NY 10029-6503
Mailing address
8611 261st St
Floral Park, NY 11001-1440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F311413-01 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1407631203
Richard Kim's National Provider Identifier is 1407631203, issued on Aug 29, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Oct 25, 2024.