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NPI Code Detail

MEDICARE: JAIME KIM REGISTERED NURSE

MEDICARE:   JAIME  KIM  REGISTERED NURSE
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
1363LF0000XFamily Nurse PractitionerAPN.1001389-NPCO
2163W00000XRegistered Nurse1671048CO

General Provider Information

NPI Number : 1477334373
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME KIM REGISTERED NURSE
Provider Business Mailing Address
First Line : 15717 E BRONCOS PL
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-4755
Country : US
Telephone Number : 720-340-9966
Fax Number :
Provider Business Practice Location Address
First Line : 6650 S VINE ST STE 100
Second Line :
City : CENTENNIAL
State : CO
Zip : 80121-2740
Country : US
Telephone Number : 303-535-7548
Fax Number : 888-504-2390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 05/08/2026

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Directions to “ JAIME KIM REGISTERED NURSE” Practice Location

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