Provider Demographics
NPI:1558351684
Name:KIM, CHUNHUI J (RN, BSN, COHN-S)
Entity Type:Individual
Prefix:MRS
First Name:CHUNHUI
Middle Name:J
Last Name:KIM
Suffix:
Gender:F
Credentials:RN, BSN, COHN-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10290 BURLEIGH COTTAGE LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-5806
Mailing Address - Country:US
Mailing Address - Phone:410-480-4958
Mailing Address - Fax:
Practice Address - Street 1:2480 LLEWELLYN AVE
Practice Address - Street 2:
Practice Address - City:FT MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755-5800
Practice Address - Country:US
Practice Address - Phone:301-677-8390
Practice Address - Fax:301-677-8876
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR106674163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR106674OtherOCCUPATIONAL HEALTH NURSE