Individual provider · Type 1 NPI
Holly N. Kim
Nurse Practitioner · Fulton, MD
Practice location
900 S Caton Ave
Fulton, MD 21229
Mailing address
11345 Market Street
Fulton, MD 20759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | R184801 (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 1912842287
Holly N. Kim's National Provider Identifier is 1912842287, issued on Apr 22, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fulton, MD. The record was last updated on Apr 22, 2026.