Individual
MRS. MELISSA JOY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15396 N 83RD AVE STE E, PEORIA, AZ 85381-5627
(480) 561-3062
Mailing address
6627 W BENT TREE DR, PHOENIX, AZ 85083-7525
(623) 695-4430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6926
AZ
Other
Enumeration date
10/16/2017
Last updated
09/29/2025
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