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NPI Code Detail

MEDICARE: CHRISTINE M. KIM NURSE PRACTITIONER

MEDICARE: CHRISTINE M. KIM NURSE PRACTITIONER
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
1363LG0600XGerontology Nurse Practitioner15964CA

General Provider Information

NPI Number : 1245447937
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE M. KIM NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 264 5TH AVE APT 1
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-2396
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3838 CALIFORNIA ST RM 707
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94118-1509
Country : US
Telephone Number : 415-668-0160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 10/04/2013

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Directions to “ CHRISTINE M. KIM NURSE PRACTITIONER” Practice Location

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