Ghijung Kim I
Nurse Practitioner - Adult Health
12221 N Mopac Expy
Austin
, Texas 78758-2401
Ghijung Kim I
Nurse Practitioner - Adult Health
12221 N Mopac Expy
Austin
, Texas 78758-2401
(512) 901-1111
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Ghijung Kim I
- 12221 N Mopac Expy
- Austin, TX
- Zip : 78758-2401
- Phone : (512) 901-1111
Second Address
- Ghijung Kim I
- 12221 N Mopac Expy
- Austin, TX
- Zip : 78758-2401
- Phone : (512) 901-1111
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Is Ghijung Kim I accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | AP136423 | TX |
National Provider Identifier
| NPI | 1023507100 |
|---|---|
| Provider Name | Ghijung Kim I |
| First Address | Austin, TX 78758-2401 |
| Second Address | Austin, TX 78758-2401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2018 |
| Last Update Date | 27/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.