Organization
KITAE KIM MD LTD
Active
Other names
SPECIAL ASSOCIATES IN SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
KITAE KIM MD (PRESIDENT)
(702) 629-3771
Entity
Organization
Contact information
Practice address
3061 S MARYLAND PKWY STE 104, LAS VEGAS, NV 89109-6226
(702) 629-3771
(702) 438-6666
Mailing address
2657 WINDMILL PKWY # 685, HENDERSON, NV 89074-3384
(702) 629-3771
(702) 438-6666
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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