KENNETH KIM

STATEN ISLAND, NY
NPI1437547528
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  692904)
Enumeration Date2014-12-26
Last Update Date2014-12-26
Business Address
Mr. KENNETH KIM RN
59 GRAFE ST
STATEN ISLAND, NY 10309-1774
Phone number: 917-273-3029
Mailing Address
Mr. KENNETH KIM RN
59 GRAFE ST
STATEN ISLAND, NY 10309-1774
Phone number:
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