IndividualActive
Kyoungmee Kim, N.P.
NPI 1861760654 · Nurse Practitioner · Dededo, GU
Provider details
- NPI number
- 1861760654
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- NP0168 (GU)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Mailing address
133 Route 3
Dededo, GU 96929-6911
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2017-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.