MICHELLE HEESUNG KIM NPI 1104467620

NPI Information

Michelle Heesung Kim is a family nurse practitioner in Oklahoma City, OK with 5 years of experience. Michelle Heesung Kim NPI is 1104467620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2019

The provider's business location address is:

4401 S WESTERN AVE
OKLAHOMA CITY, OK
ZIP 73109-413
Phone: (405) 636-7000

The NPI 1104467620 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 10/6/2019 and was last updated on 1/7/2021.

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:

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