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Organization
KITAE KIM MD LTD
Active
Organization
KITAE KIM MD LTD
Active
Other names
SPECIAL ASSOCIATES IN SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
KITAE KIM MD (PRESIDENT)
(702) 629-3771
Entity
Organization
Contact information
Practice address
3061 S MARYLAND PKWY STE 104, LAS VEGAS, NV 89109-6226
(702) 629-3771
(702) 438-6666
Mailing address
2657 WINDMILL PKWY # 685, HENDERSON, NV 89074-3384
(702) 629-3771
(702) 438-6666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
Primary
—
NULL
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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