Individual provider · Type 1 NPI
Soo Kyung Kim
Adult Health Nurse Practitioner · Palo Alto, CA
NPI number
1700558731
Active
Practice location
3801 Miranda Ave
Palo Alto, CA 94304-1207
Mailing address
29 Arroyo View Cir
Belmont, CA 94002-3183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP95018400 (CA) |
| Primary Care Nurse Practitioner | 363LP2300X | NP95018400 (CA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP95018400 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1700558731
Soo Kyung Kim's National Provider Identifier is 1700558731, issued on Sep 28, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Palo Alto, CA. The record was last updated on Sep 28, 2021.