| Doctor Name: | CHRISTINA KIM |
| NPI Number: | 1033470687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 5005629 |
| Business Practice Address: | 110 W Main St Suite 2h Carrboro, NC - 275102026 |
| Business Phone Number: | 9193381939 |
| Business Fax Number: | |
| Mailing Address: | 104 Melrose Pl Apt B, CHAPEL HILL |
| State: | NC |
| Postal Code: | 275160430 |
| Phone Number: | 9198007145 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 05/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 5005629 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |