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1649603846 NPI number — YUN J KIM DNP

NPI Number: 1649603846
Health Care Provider/Practitioner: YUN J KIM DNP

Information about “1649603846” NPI (YUN J KIM DNP) exists in 1649603846 in HTML format HTML  |  1649603846 in plain Text format TXT  |  1649603846 in PDF (Portable Document Format) PDF  |  1649603846 in an XML format XML  formats.

NPI Number : 1649603846 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649603846",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIM",
    "FirstName": "YUN",
    "MiddleName": "J",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3119 GARDEN BROOK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMERS BRANCH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75234-2306",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "464-360-0796",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2944 MOTLEY DR STE 401",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MESQUITE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75150-3464",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-289-2273",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/12/2013",
    "LastUpdateDate": "04/10/2025",
    "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": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "306573",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "1124359",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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