Individual
DR. JOON SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Mailing address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 524-8814
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
007951
AZ
207RN0300X
Nephrology Physician
007951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998131
—
AZ
Enumeration date
06/03/2014
Last updated
05/10/2022
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