Individual
REBECCA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12290 COLLEGE BLVD, OVERLAND PARK, KS 66210-4049
(913) 327-1332
Mailing address
11450 LAMAR AVE UNIT 3206, OVERLAND PARK, KS 66211-1580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-121695
KS
183500000X
Pharmacist
2019041872
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-121695
PHARMACIST LICENSE NUMBER FOR KANSAS
KS
01
—
2019041872
PHARMACIST LICENSE NUMBER FOR MISSOURI
MO
Enumeration date
02/23/2021
Last updated
08/04/2025
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