Individual provider · Type 1 NPI

Kyungsook Kim, NURSE PRACTITIONER

Family Nurse Practitioner · Bronx, NY

NPI number 1639457237 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Fax (718) 299-6797

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF336449 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1639457237

Kyungsook Kim, NURSE PRACTITIONER's National Provider Identifier is 1639457237, issued on Jul 30, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Dec 1, 2015.