Sungjin Kim, MSc, RN
Student in an Organized Health Care Education/Training Program in Normal, IL. Individual provider (NPI-1).
NPI number1194636639
StatusActive
Last updated in NPPESSep 14, 2026
Details
- NPI
- 1194636639
- Entity type
- Individual (NPI-1)
- Name
- Sungjin Kim
- Credential
- MSc, RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2026
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 041481934 | IL | Yes |
Other names
- Agnes Kim (Other Name)
Practice location
2933 Grey Hawk DrNormal, IL 61761-7512
Phone 309-830-4065
Mailing address
2933 Grey Hawk DrNormal, IL 61761-7512
Phone 309-830-4065
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