National Provider Identifier

Kimberly Soeung

Kimberly Soeung is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 793-3765.

NPI 1821429937Ithaca, NYLicensed Practical Nurse

Profile Overview

NPI
1821429937
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 29, 2013
Last Updated
November 29, 2013

Practice Location

  • 1895 Mecklenburg RD Apt 11
  • Ithaca, NY 14850-9283

Phone: (607) 793-3765

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1821429937
Entity Type
Individual
Last Name
Soeung
First Name
Kimberly
Mailing Street Address
1895 Mecklenburg RD Apt 11
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-9283
Mailing Country
US
Mailing Phone
(607) 793-3765
Practice Street Address
1895 Mecklenburg RD Apt 11
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-9283
Practice Country
US
Practice Phone
(607) 793-3765
Enumeration Date
November 29, 2013
Last Updated
November 29, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)