Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Heesung Kim

Individual provider Family Nurse Practitioner · NPI 1104467620

Michelle Heesung Kim is a Family Nurse Practitioner in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma and Washington.

Licensed in
OK, WA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone: (405) 636-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61045635 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence R0113839 (OK)

Record details

NPI number1104467620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2019
Last updated in NPPESJanuary 7, 2021
Certification dateJanuary 7, 2021

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