DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HYOJEONG KIM APRN

MEDICARE: HYOJEONG KIM APRN
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 Practitioner4704283603MI
2363LA2200XAdult Health Nurse Practitioner4704283603MI

General Provider Information

NPI Number : 1700128162
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYOJEONG KIM APRN
Provider Business Mailing Address
First Line : 4646 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-1916
Country : US
Telephone Number : 313-576-1000
Fax Number :
Provider Business Practice Location Address
First Line : 4646 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-1916
Country : US
Telephone Number : 313-576-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2013
Last Update Date : 03/16/2026

Similar Medicare Providers

1528915139 — THERESA SMITH
Practice Location Address:
4646 JOHN R ST
DETROIT, MI
48201-1916
Practice Phone: 313-576-1000
Practice Fax:
1528046505 — JULIA SWITZER PA
Practice Location Address:
4646 JOHN R ST
DETROIT, MI
48201-1916
Practice Phone: 313-576-3319
Practice Fax:
1013985480 — RADHA PARUCHURI MD
Practice Location Address:
4646 JOHN R ST
DETROIT, MI
48201-1916
Practice Phone: 313-576-1000
Practice Fax:
1316907348 — SHABBIR AHMED M.D.
Practice Location Address:
4646 JOHN R ST
DETROIT, MI
48201-1916
Practice Phone: 313-576-3306
Practice Fax: 313-576-1824
1023079209 — DR. SATTAR ABDUS SHEIKH M.D.
Practice Location Address:
4646 JOHN R ST
DETROIT, MI
48201-1916
Practice Phone: 313-576-1000
Practice Fax:
1841252822 — DR. NEERAJA RAMACHANDRA M.D.
Practice Location Address:
4646 JOHN R ST , VAMC
DETROIT, MI
48201-1916
Practice Phone: 313-576-4693
Practice Fax:

Directions to “ HYOJEONG KIM APRN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.