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Individual

KIUP ALEXANDER KIM

Active
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Individual

KIUP ALEXANDER KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, RPVI

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42708
AZ
2086S0129X
Vascular Surgery Physician
Primary
42708
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225242985
NPI
AZ
05
501341
AZ
01
Z139140
PTAN
AZ
Enumeration date
05/10/2007
Last updated
08/05/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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