Su Kyung Kim
Nurse Practitioner - Women's Health
3400 Civic Center Blvd Pcam South 4th Floor
Philadelphia
, Pennsylvania 19104-5127
Su Kyung Kim
Nurse Practitioner - Women's Health
3400 Civic Center Blvd Pcam South 4th Floor
Philadelphia
, Pennsylvania 19104-5127
(215) 573-6158
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Su Kyung Kim
- 3400 Civic Center Blvd Pcam South 4th Floor
- Philadelphia, PA
- Zip : 19104-5127
- Phone : (215) 573-6158
Second Address
- Su Kyung Kim
- 3400 Civic Center Blvd Pcam South 4th Floor
- Philadelphia, PA
- Zip : 19104-5127
- Phone : (215) 573-6158
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | SP013890 | PA |
National Provider Identifier
| NPI | 1073062139 |
|---|---|
| Provider Name | Su Kyung Kim |
| First Address | Philadelphia, PA 19104-5127 |
| Second Address | Philadelphia, PA 19104-5127 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2016 |
| Last Update Date | 01/12/2016 |
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.