Kim, Hyojeong

Kim, Hyojeong is an individual health care provider with primary practice located at 560 Gage Blvd Ste 102, Richland WA 99352-8650. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Kim, Hyojeong can be contacted via phone (509) 942-3135.

Contact Information

Primary practice address
560 Gage Blvd Ste 102 Richland WA 99352-8650
Phone: (509) 942-3135
Fax: (509) 627-1188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X AP60383782 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704283603 Michigan

Profile Details

NPI number 1700128162
LBN Legal business name Kim, Hyojeong
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2013
Last updated Jan 23rd, 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 1700128162 NPPES
Washington MEDICAID 1700128162

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