NPI 1356196281

Michele Kim, CPED

Practitioner Pedorthist Fort Lee, NJ

Practice location

Address: 1402 Bergen Blvd, Fort Lee, NJ 07024-2116
Phone: (201) 328-2776

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED4638 (NJ)

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Registry record

NPI: 1356196281
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2024
Record last updated: 23 Apr 2024

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.