Kim, Gloria S.

Kim, Gloria S. is an individual health care provider with primary practice located at 4735 Ogletown Stanton Rd Ste 1250 , Newark DE 19713. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kim, Gloria S. can be contacted via phone (302) 623-0200.

Contact Information

Primary practice address
4735 Ogletown Stanton Rd Ste 1250 Newark DE 19713
Phone: (302) 623-0200
Fax: (302) 623-0117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X L1-0020432 Delaware
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X LG-0000396 Delaware

Profile Details

NPI number 1740348986
LBN Legal business name Kim, Gloria S.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Apr 17th, 2019 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740348986 NPPES
Delaware MEDICAID 1740348986
Delaware Other 162440

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