Individual provider · Type 1 NPI
Kiryoung Kim, AGNP-C
Nurse Practitioner · Baltimore, MD
Practice location
401 N Broadway St
Baltimore, MD 21287-0019
Fax (410) 614-4501
Mailing address
43 Tenby Ct
Lutherville Timonium, MD 21093-1873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R214235 (MD) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1679125629
Kiryoung Kim, AGNP-C's National Provider Identifier is 1679125629, issued on Jul 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 12, 2019.