Individual
DANIEL H KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1905 MC DANIEL ST, SUITE 104, NORTH LAS VEGAS, NV 89030-7170
(702) 838-9710
(702) 838-9705
Mailing address
1905 MCDANIEL ST, SUITE 104, NORTH LAS VEGAS, NV 89030-7169
(702) 838-9710
(702) 838-9705
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DO736
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063526317
NPI GROUP NUMBER
NV
05
—
1801881297
—
NV
Enumeration date
09/13/2005
Last updated
04/08/2023
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