Individual
KIRK SHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-1302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10587
AZ
Other
Enumeration date
09/15/2011
Last updated
10/18/2017
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