MIRA KIM

LANSING, KS
NPI1710212477
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: KS  53-74979-072)
Enumeration Date2009-10-13
Last Update Date2009-10-13
Business Address
-- MIRA KIM ARNP
720 1ST TER
LANSING, KS 66043-1704
Phone number: 913-682-5588
Mailing Address
-- MIRA KIM ARNP
12413 W 100TH PL
LENEXA, KS 66215-1929
Phone number: 913-492-3484
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