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NPI Code Detail

MEDICARE: JUNHEE KIM

MEDICARE:   JUNHEE  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 PractitionerSP034274PA

General Provider Information

NPI Number : 1003774134
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNHEE KIM
Provider Business Mailing Address
First Line : 4224 BALTIMORE AVE APT 408
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-6446
Country : US
Telephone Number : 267-456-4329
Fax Number :
Provider Business Practice Location Address
First Line : 4224 BALTIMORE AVE APT 408
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-6446
Country : US
Telephone Number : 267-456-4329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ JUNHEE KIM ” Practice Location

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