NPI 1619795424

Sangjung Kim

Practitioner Certified Registered Nurse Anesthetist Tamuning, GU

Practice location

Address: 850 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3128
Phone: (671) 647-2555
Mailing address: Goryo APT 703 Dong - 602 Ho, 8 Junggok-Ro, Geoje-Si, GYEONGSANGNAM-DO 53249

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 100181 (GU)

Other Nurse Anesthetist, Certified Registered providers in Guam →

Registry record

NPI: 1619795424
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2024
Record last updated: 30 Sep 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.