Individual
DR. JIN KOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2580 HIGHWAY 95 STE 224, BULLHEAD CITY, AZ 86442-7332
(928) 763-7722
(928) 763-7744
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
41404
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
395430
—
AZ
Enumeration date
01/12/2007
Last updated
02/07/2019
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