Individual
WANSEUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
6870 S RAINBOW BLVD STE 107, LAS VEGAS, NV 89118-2107
(702) 750-0659
Mailing address
5367 PEACOCK LILY ST, LAS VEGAS, NV 89113-1267
(702) 218-0133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN67339
NV
363LF0000X
Family Nurse Practitioner
Primary
856178
NV
Other
Enumeration date
09/12/2022
Last updated
02/21/2025
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