Individual
REBECCA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9020 W CHEYENNE AVE, LAS VEGAS, NV 89129-8932
(702) 240-4233
Mailing address
985 WIGWAM PKWY UNIT 3109, HENDERSON, NV 89014-6835
(310) 938-1747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
01/05/2023
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