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Individual

DAVID HYUNSOO KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5380 S RAINBOW BLVD, 310, LAS VEGAS, NV 89118-1877
(702) 939-1600
Mailing address
5380 S RAINBOW BLVD, 310, LAS VEGAS, NV 89118
(702) 939-1600
(702) 932-0440

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9568
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CC6606
BLU CROSS BLUE SHIELD
NV
Enumeration date
03/23/2006
Last updated
07/08/2007
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