Individual
NICHOLAS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3104 E INDIAN SCHOOL RD STE 100, PHOENIX, AZ 85016-6873
(602) 266-0266
(602) 266-9757
Mailing address
2285 CORPORATE CIR STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9542
AZ
363LF0000X
Family Nurse Practitioner
RN180149
AZ
Other
Enumeration date
09/29/2016
Last updated
09/02/2020
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