Individual
MICHELLE SANG YUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-4660
(602) 744-4799
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-7761
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
35061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127039
—
AZ
01
—
P00701043
MEDICARE RAILROAD
—
Enumeration date
09/14/2006
Last updated
12/06/2022
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