Kaetlyn Alysse Eun Hae Kim
Kaetlyn Alysse Eun Hae Kim is a Student in an Organized Health Care Education/Training Program in LA Verne, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
LA Verne, CANo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1376269225 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2022 |
| Last updated in NPPES | October 9, 2024 |
| Certification date | October 9, 2024 |
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