JEE YOON KIM ANP NPI 1558697565

NPI Information

NPI: 1558697565
Provider Name: JEE YOON KIM, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
240 INDIAN RIVER RD.
BUILDING A SUITE 1A
ORANGE, CT
ZIP 06477
Phone: (203) 795-1664
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Jee Yoon Kim, ANP is an adult health nurse practitioner in Orange, CT. Jee Yoon Kim, ANP NPI is 1558697565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

240 INDIAN RIVER RD.
BUILDING A SUITE 1A
ORANGE, CT
ZIP 06477
Phone: (203) 795-1664

The NPI 1558697565 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2009 and was last updated on 1/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	18743	TENNESSEE	No
2	363LA2200X	Nurse Practitioner	Adult Health	10549	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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