Individual provider · Type 1 NPI
Ji Soo Kim
Family Nurse Practitioner · Bronx, NY
NPI number
1972665669
Active
Practice location
1400 Pelham Pkwy S, Peds Ed
Bronx, NY 10461-1138
Mailing address
1764 Stewart Ave
New Hyde Park, NY 11040-1827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 331768 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972665669
Ji Soo Kim's National Provider Identifier is 1972665669, issued on Dec 15, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.