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1588385991 NPI number — LAUREN KIM RN, CNM

NPI Number: 1588385991
Health Care Provider/Practitioner: LAUREN KIM RN, CNM

Information about “1588385991” NPI (LAUREN KIM RN, CNM) exists in 1588385991 in HTML format HTML  |  1588385991 in plain Text format TXT  |  1588385991 in PDF (Portable Document Format) PDF  |  1588385991 in an XML format XML  formats.

NPI Number : 1588385991 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588385991",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "LAUREN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, CNM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HURLEY",
    "OtherFirstName": "LAUREN",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "RN",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2081 LAKE PARK DR SE APT E",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SMYRNA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30080-7636",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "716-517-5473",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "253 VETERANS DR STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARRENTON",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "20186-3076",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "716-517-5473",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/06/2022",
    "LastUpdateDate": "10/09/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "367A00000X",
        "TaxonomyName": "Advanced Practice Midwife",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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