National Provider Identifier

Youn Jea Kim, NP

Youn Jea Kim, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 650-5720.

NPI 1376908442Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1376908442
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 16, 2015
Last Updated
August 11, 2023

Practice Location

  • 550 Orchard Park RD Ste A110
  • Buffalo, NY 14224-2646

Phone: (716) 650-5720

Mailing Address

  • 1170 Maple RD
  • Williamsville, NY 14221-3440

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Dermatology Physician (207N00000X)
Full Record
NPI
1376908442
Entity Type
Individual
Last Name
Kim
First Name
Youn Jea
Credential
NP
Mailing Street Address
1170 Maple RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-3440
Mailing Country
US
Mailing Phone
(213) 880-2538
Practice Street Address
550 Orchard Park RD Ste A110
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14224-2646
Practice Country
US
Practice Phone
(716) 650-5720
Enumeration Date
December 16, 2015
Last Updated
August 11, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Dermatology Physician (207N00000X)