Koo, Grace Kim

Koo, Grace Kim is an individual health care provider with primary practice located at 514 W Maple St Ste 306 , Cumming GA 30040-2420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Koo, Grace Kim can be contacted via phone (678) 455-9885.

Contact Information

Primary practice address
514 W Maple St Ste 306 Cumming GA 30040-2420
Phone: (678) 455-9885
Fax: (678) 455-9885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024171736 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18490 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN218400 Georgia

Profile Details

NPI number 1093058976
LBN Legal business name Koo, Grace Kim
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2013
Last updated Nov 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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