Individual provider · Type 1 NPI

Juyung Kim

Primary Care Nurse Practitioner · Albuquerque, NM

NPI number 1487076220 Active

Practice location

2121 Juan Tabo Blvd NE
Albuquerque, NM 87112-3307

Fax (505) 237-8817

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XCNP-02280 (NM)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1487076220

Juyung Kim's National Provider Identifier is 1487076220, issued on Jan 14, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 8, 2023.