Kyongsook Kim
Nurse Practitioner - Gerontology
700 Constitution Ave Ne
Washington
, District of Columbia 20002-6058
Kyongsook Kim
Nurse Practitioner - Gerontology
700 Constitution Ave Ne
Washington
, District of Columbia 20002-6058
(301) 598-8123
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Kyongsook Kim
- 14903 Alpine Meadow Ln
- Silver Spring, MD
- Zip : 20906-1961
- Phone : (301) 598-8123
Second Address
- Kyongsook Kim
- 700 Constitution Ave Ne
- Washington, DC
- Zip : 20002-6058
- Fax : (202) 543-6185
- Phone : (202) 543-4800
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | RN962194 | DC |
National Provider Identifier
| NPI | 1033181060 |
|---|---|
| Provider Name | Kyongsook Kim |
| First Address | Silver Spring, MD 20906-1961 |
| Second Address | Washington, DC 20002-6058 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S84022 | (02) | DC |
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.