Hyejin Kim, C.R.N.P.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP010204 Issued in PA

Practice address

1255 S Cedar Crest Blvd
Suite 2200
Allentown, PA 18103-6256

Phone

(610) 437-9603

Fax

(610) 437-1942

NPI assigned

Apr 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1194968933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 SPRUCE ST",
            "address_2": "APT 305",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044059",
            "telephone_number": "215-518-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD",
            "address_2": "SUITE 2200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036256",
            "telephone_number": "610-437-9603",
            "fax_number": "610-437-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "HYEJIN",
        "name_prefix": "Ms.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP010204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Killian
• George Michael Kilzi, MD. JD
• Christine H. Kim, M.D.
• Diane Kim, MD
• Enoch Kim
• Jaechoon Kim, MD
• Jin Kim, MD
• Joon B Kim, MD
• Jungsoo Kim, MD
• Mackenzi Kim

• Gerontology Nurse Practitioner in Allentown, PA
• Providers in Allentown, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.