SO KIM


Address: 7334 S Lindbergh Blvd Saint Louis, Saint Louis, MO 63125-4522
Phone: 8663892727

SO KIM (NPI# 1285183723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285183723
Entity Type Individual
Full Name SO KIM
Credential FNP-C
Practice Address 7334 S Lindbergh Blvd Saint Louis
Saint Louis
MO 63125-4522
Mailing Address 7334 S Lindbergh Blvd
Saint Louis
MO 63125-4522
Practice Telephone 8663892727
Mailing Telephone 8663892727
Enumeration Date 2016-09-26
Last Update Date 2019-01-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2016034713 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers SO KIM

NPI Name Taxonomy Address Enumeration
1811387475 So Kim Pharmacy Technician 1238 Putty Hill Ave, Towson, MD 21286-5844 2015-02-03
1235122201 So J Kim Anesthesiology 1044 N Francisco Ave, Chicago, IL 60622-2743 2005-08-25

Office Location

Street Address 7334 S LINDBERGH BLVD SAINT LOUIS
City SAINT LOUIS
State MO
Zip Code 63125-4522

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396396990 Linda Marie Monken Technician 3792 Southern Manor, St. Louis, MO 63125 2019-09-25
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1760940209 Lea-ed Inc Community Based Residential Treatment Facility, Mental Illness 30 Sherman Road, Lemay, MO 63125 2019-03-04
1861957185 Mary M Ross Occupational Therapist Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 2019-02-01
1013400977 Anne Henry Francis Dietitian, Registered Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 2018-06-14
1922458660 Rebecca Mae Waugh Skilled Nursing Facility 1001 Holy Grail Ct, Saint Louis, MO 63125 2016-06-14
1942661814 Dsk Works LLC Chiropractor 3193 Lemay Ferry Rd., Saint Louis, MO 63125 2016-03-18
1467717678 Despine Louise Coulis Pediatrics 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 2012-07-13
1184914194 Allison Celeste Cassidy Pharmacist 3901 Lemay Ferry Road, Saint Louis, MO 63125 2011-04-11
1093049694 Lauren C Mensie Psychologist 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 2009-09-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720816 Blake Christian Cory Nurse Practitioner 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 2020-11-08
1265032346 Sara Lynn Gillespie Nurse Practitioner 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 2020-10-28
1174123509 Megan Ashley Wagner Nurse Practitioner 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 2020-10-26
1467059972 Anissa Rasul Nurse Practitioner 10631 Thayer Dr, Saint Louis, MO 63123-6018 2020-10-07
1124635388 Brittney Sherrell Burks Nurse Practitioner 10314 Briar Hollow Dr Apt 7, Saint Louis, MO 63146-5777 2020-09-30
1629684865 Nicole Burdge Nurse Practitioner 9230 Laurel Hill Dr, Saint Louis, MO 63126-2820 2020-09-22
1932724614 Oluwatoyin Olufunke Adegboyega Nurse Practitioner 3318 Saint Vincent Ave, Saint Louis, MO 63104-1338 2020-06-09
1497376487 Jessica A Spring Nurse Practitioner 6023 Lansdowne Ave, Saint Louis, MO 63109-2243 2020-04-30
1932728466 Lucy Wachuka Kamau Nurse Practitioner 4412 Clarence Ave, Saint Louis, MO 63115-3108 2020-04-14
1275169567 Lindsay Jones Nurse Practitioner 1115 Olivette Executive Pkwy Ste 100, Saint Louis, MO 63132-3265 2020-03-18
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Competitor

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City SAINT LOUIS
Zip Code 63125

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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