Si Nae Kim

Pharmacist · Placerville, CA

Individual Active NPI

NPI number 1669220331

Practice location

3964 Missouri Flat Rd Ste a
Placerville, CA 95667-5238
Phone
(530) 626-8642

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NPI record

NPI
1669220331
Entity type
Individual (Type 1)
Enumeration date
May 8, 2024
Last updated
May 8, 2024
Certified
May 8, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 89478 CA

Mailing address

10352 Jennick Way
Elk Grove, CA 95757-1604
Phone
(916) 243-8610

About Si Nae Kim

Si Nae Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 3964 Missouri Flat Rd Ste a, Placerville, CA 95667-5238. The NPI number 1669220331 was assigned on May 8, 2024 and the record was last updated on May 8, 2024.

Si Nae Kim lists a license in the registry: #89478 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Si Nae Kim?

The NPI number is 1669220331.

What is the phone number of Si Nae Kim?

The phone number listed for the practice location is (530) 626-8642.

Where is Si Nae Kim located?

3964 Missouri Flat Rd Ste a, Placerville, CA 95667-5238.

What is the taxonomy code for Si Nae Kim?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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