Individual
VIDA ROSE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
653 N TOWN CENTER DR STE 604, LAS VEGAS, NV 89144-0520
(702) 869-0855
(702) 869-0859
Mailing address
400 N STEPHANIE ST STE 300, HENDERSON, NV 89014-6692
(702) 952-3350
(702) 952-3365
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN001635
NV
Other
Enumeration date
12/04/2013
Last updated
05/13/2025
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