Individual
ANDREW KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., PLLC
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
11170
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
20A11170
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO1610
NV
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
M9411
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417100918
—
NV
Enumeration date
10/28/2008
Last updated
06/26/2019
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