GWYNETH KIM FNP NPI 1154997682

NPI Information

Gwyneth Kim, FNP is a family nurse practitioner in Tustin, CA. Gwyneth Kim, FNP NPI is 1154997682. 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:

14642 NEWPORT AVE STE 105
TUSTIN, CA
ZIP 92780-058
Phone: (949) 520-4175

The enumeration date for this NPI number is 6/3/2021 and was last updated on 8/1/2021.

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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