| Mrs Grace Y Kim, LPN | |
| 
					10850 N Oriole Ln, Mequon, WI 53092-4912  | |
| (262) 442-0754 | |
| (800) 319-4979 | 
| Full Name | Mrs Grace Y Kim | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Practical Nurse | 
| Location | 10850 N Oriole Ln, Mequon, Wisconsin | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1326300534 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 314375-031 (Wisconsin) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Grace Y Kim, LPN 10850 N Oriole Ln, Mequon, WI 53092-4912 Ph: (262) 442-0754  | Mrs Grace Y Kim, LPN 10850 N Oriole Ln, Mequon, WI 53092-4912 Ph: (262) 442-0754  | 
Deborah Lee Gall,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 616 E Circle Rd, Mequon, WI 53092 Phone: 262-227-1045  | |
Tami Elizabeth Hill, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 11623 W Mequon Rd, Mequon, WI 53097 Phone: 414-573-0143  |