Individual
MICHELLE A KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 ALDER AVE, INCLINE VILLAGE, NV 89451-8335
(775) 831-6200
Mailing address
880 ALDER AVE FL 2, INCLINE VILLAGE, NV 89451-8335
(775) 831-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A81149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A811490
—
CA
Enumeration date
10/04/2006
Last updated
03/23/2023
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