IRENE KIM
NPI 1336965573
Counselor - Professional in Frederick, MD
Active since December 03, 2024
About Irene Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRENE KIM (NPI 1336965573) is an individual professional provider in Frederick, Maryland and active in the NPI registry since December 2024.
NPPES Registry Identity
NPI1336965573
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameIRENE KIM
Location Address3585 KATHERINE WAYFrederick, MD 21704-7023
Mailing Address3585 Katherine WayFrederick, MD 21704-7023 · (240) 423-4973
Phone(240) 423-4973
Sole ProprietorYes
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1336965573 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedDoulaTaxonomy 374J00000X
3585 KATHERINE WAY, Frederick, MD 21704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336965573, enumerated as an "individual" on December 03, 2024.
The provider is located at 3585 KATHERINE WAY FREDERICK, MD 21704 and the phone number is (240) 423-4973.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
