Susan Mary Kim, NP
Nurse Practitioner, Adult Health in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1982603619
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1982603619
- Entity type
- Individual (NPI-1)
- Name
- Ms. Susan Mary Kim
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2005
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | SP000893C | PA | Yes |
| 363L00000X | Nurse Practitioner | SP000893C | PA |
Practice location
1350 Locust St Ste 105Pittsburgh, PA 15219-4738
Phone 412-232-8840 · Fax 412-232-3690
Mailing address
1350 Locust St Ste 105Pittsburgh, PA 15219-4738
Phone 412-232-8840 · Fax 412-232-3690
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