Individual
MRS. SOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5794
(775) 783-3020
(775) 783-3021
Mailing address
1516 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5794
(775) 783-3020
(775) 783-3021
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10696
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502384
—
NV
Enumeration date
08/31/2006
Last updated
01/21/2013
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