Most Relevant Information
Provider Data
| NPI Number: | 1003464462 |
| Provider Name: | SUN HEE KIM CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | APRN11004058 |
Most Important Dates
| Enumeration Date: | 08/29/2019 |
| Last Updated: | 09/16/2019 |
Provider Practice Location
500 WINDERLEY PL STE 115
MAITLAND
FL
327517406
Practice Location Phone/Fax
| Phone: | 4075819180 |
| Fax: | 8655607066 |
Provider Mailing Location
500 WINDERLEY PL STE 115
MAITLAND
FL
327517406
Provider Mailing Phone/Fax
| Phone: | 4075819180 |
| Fax: | 8655607066 |