Kim, Andy Young Jin

Kim, Andy Young Jin is an individual health care provider with primary practice located at 101 E W T Harris Blvd , Charlotte NC 28262-3485. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Kim, Andy Young Jin can be contacted via phone (704) 863-9850.

Contact Information

Primary practice address
101 E W T Harris Blvd Charlotte NC 28262-3485
Phone: (704) 863-9850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 5012016 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5012016 North Carolina

Profile Details

NPI number 1023661014
LBN Legal business name Kim, Andy Young Jin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2019
Last updated Jul 15th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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