Individual
ERICA YENA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6350 MAE ANNE AVE STE 3, RENO, NV 89523-4718
(775) 982-8971
(775) 982-8071
Mailing address
1155 MILL ST, M-14 PROVIDER ENROLLMENT, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29680
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2023
Last updated
07/29/2026
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