Provider Demographics
NPI:1063151520
Name:KIM, HELEN J (MS, MA, CGC)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:J
Last Name:KIM
Suffix:
Gender:F
Credentials:MS, MA, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 BEDFORD AVE STE 1137
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4171
Mailing Address - Country:US
Mailing Address - Phone:562-380-3953
Mailing Address - Fax:
Practice Address - Street 1:223 BEDFORD AVE STE 1137
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4171
Practice Address - Country:US
Practice Address - Phone:562-380-3953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC001281170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS