IndividualActive
Joong Sun Kim
NPI 1417628660 · Addiction (Substance Use Disorder) Registered Nurse · Denver, CO
Provider details
- NPI number
- 1417628660
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0188626 (CO)
Specialties & taxonomies
Nursing Service Providers
Practice location
777 Bannock St
Denver, CO 80204-4507
Phone: (303) 602-4878
Approximate (ZIP-level) locationGet directions
Mailing address
777 Bannock St
Denver, CO 80204-4507
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2021-09-27
- Certified
- 2021-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.