Kenneth Kim, RN
Registered Nurse in Staten Island, NY. Individual provider (NPI-1).
NPI number1437547528
StatusActive
Last updated in NPPESDec 26, 2014
Details
- NPI
- 1437547528
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth Kim
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2014
- Last updated
- Dec 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 692904 | NY | Yes |
Practice location
59 Grafe StStaten Island, NY 10309-1774
Phone 917-273-3029
Mailing address
59 Grafe StStaten Island, NY 10309-1774
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