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Contact Information

JO ANN KIM, RN, PHD, CDCES
222 CREEK DR
LEBANON, PA17042-8714
 Phone: 605-202-1410
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for JO ANN KIM · (Female)

NPI # 1356230437
Status Active
Credentials RN, PHD, CDCES
Entity Individual
Enumeration date 07/02/2025
Last updated 07/02/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • PA License # RN764248
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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