NPI 1003478942

Minwoo Kim, CRNA

Practitioner Certified Registered Nurse Anesthetist Urbana, IL

Practice location

Address: 611 W Park St, Urbana, IL 61801-2529
Phone: (217) 383-3303
Fax: (217) 383-3265

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209019559 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1003478942
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2019
Record last updated: 1 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.