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NPI Code Detail

MEDICARE: NAYEON KIM

MEDICARE: NAYEON KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerF311935NY

General Provider Information

NPI Number : 1588528392
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAYEON KIM
Provider Business Mailing Address
First Line : 325 W 15TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-5903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 325 W 15TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-5903
Country : US
Telephone Number : 212-604-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ NAYEON KIM ” Practice Location

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