Individual
KIM M LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 515-6296
Mailing address
3652 E MAFFEO RD, PHOENIX, AZ 85050-8339
(480) 772-5988
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
RN173974
AZ
Other
Enumeration date
09/21/2019
Last updated
08/25/2025
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