Organization
DAVID H KIM, MD, PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID H KIM MD (PRESIDENT)
(702) 939-1600
Entity
Organization
Contact information
Practice address
5380 S RAINBOW BLVD STE 310, LAS VEGAS, NV 89118-1880
(702) 939-1600
Mailing address
5380 S RAINBOW BLVD STE 310, LAS VEGAS, NV 89118-1880
(702) 939-1600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9568
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500537
—
NV
01
—
38048
MEDICARE, GROUP
NV
01
—
38049
MEDICARE, INDIVIDUAL
NV
Enumeration date
12/05/2007
Last updated
12/05/2007
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