# KEVIN GUANWEN SHIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1154982999
- **Gender:** Man
- **Credential:** MD PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 2019021213 | MO | — |
| 207R00000X | Internal Medicine Physician | D93814 | MD | — |
| 207RH0003X | Hematology & Oncology Physician | 68707 | AZ | Yes |

## Other

- **Enumeration date:** 06/24/2019
- **Last updated:** 06/08/2026